Individual provider Active NPI

Jason Eric Hagman, DC

  • Chiropractor
  • Springfield, NJ
National Provider Identifier
1619095957
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00580200 Issued in NJ
Practice address
454 Morris Ave Ste L1
Springfield, NJ 07081-1158
Phone
(973) 564-7676
Fax
(973) 379-6888
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00580200 NJ Primary

Addresses

Primary practice location

454 Morris Ave Ste L1
Springfield, NJ 07081-1158

Mailing address

454 Morris Ave Ste L1
Springfield, NJ 07081-1158
Phone (973) 564-7676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00580200NJMDChiropractor
008340NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Icare Internal Medicine PastSince Mar 1, 2007 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1619095957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 MORRIS AVE STE L1",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811158",
            "telephone_number": "973-564-7676",
            "fax_number": "973-379-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 MORRIS AVE STE L1",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811158",
            "telephone_number": "973-564-7676",
            "fax_number": "973-379-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGMAN",
        "first_name": "JASON",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00580200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.