Jake Francis Hickey, MS, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00319500 Issued in NJ

Practice address

400 Jefferson St
Hackettstown, NJ 07840-2184

Phone

(908) 852-1400

NPI assigned

Nov 6, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1720851231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CONRAD STRASSE",
            "city": "BYRAM TOWNSHIP",
            "state": "NJ",
            "postal_code": "078213307",
            "telephone_number": "973-527-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 JEFFERSON ST",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402184",
            "telephone_number": "908-852-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "JAKE",
        "middle_name": "FRANCIS",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00319500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heath Village, Inc.
• Mary Elizabeth Heavey, M.S., CCC-SLP
• Megan Hein, LCSW, LCADC
• Noelle K Herczku, MA, LPC
• Darlene Herrera, LPC
• High Point Health and Wellness
• Allyson Hill, RPH
• Martha Hill, CNM
• Clay Robert Hinrichs, M.D.
• Clare Trelease Hoeckele, LPC

• Athletic Trainer in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.