Jennifer R Hill MD PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

241574 Issued in NY

Legal business name

JENNIFER R HILL MD PLLC

Doing business as

Suffolk Pelvic Medicine

Practice address

74 Commerce Ave Ste 1
Riverhead, NY 11901-3105

Phone

(631) 405-0898

NPI assigned

Apr 13, 2009

Last updated

Mar 21, 2018By the provider in NPPES

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, FPMRSNPI 1932390150

Title

Owner

Phone

(631) 405-0898

Specialties & licenses 1

Addresses

Other names 1

• Suffolk Pelvic Medicine Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Rebecca Hill, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
  • Riverhead, NY
  • NPI 1932390150
  Authorized official Same address or phone

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.