Jennifer R Hill MD PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

241574 Issued in NY

Legal business name

JENNIFER R HILL MD PLLC

Practice address

74 Commerce Ave Ste 1
Riverhead, NY 11901-3105

Phone

(631) 405-0898

NPI assigned

Apr 13, 2009

Organization subpart

No

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

Authorized official

Name

Jennifer Rebecca Hill, MD, FPMRS

Title

Owner

Phone

(631) 405-0898

Specialties & licenses 1

Addresses

Other names 1

• Suffolk Pelvic Medicine Doing business as

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1861635344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BUCKINGHAM DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465409",
            "telephone_number": "631-405-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 COMMERCE AVE STE 1",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119013105",
            "telephone_number": "631-405-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER R HILL MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-405-0898",
        "authorized_official_credential": "MD, FPMRS"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NY",
            "license": "241574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suffolk Pelvic Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urology Physician in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.