Active NPIIndividual providerSole proprietor

Jamie L Hagemann

Nurse Practitioner in Ridgewood, New Jersey

NPI Number1104600683
Practice location
223 N Van Dien Ave, Ridgewood, NJ 07450-2726
Fax
—
Last updated
September 3, 2025

Jamie Lynne Hagemann is a Nurse Practitioner based in Ridgewood, NJ. Jamie Lynne Hagemann practices in Ridgewood, NJ. The NPI Number for Jamie Lynne Hagemann is 1104600683 and holds a License No. 26NJ14917400 (NJ). The current practice location address for Jamie Lynne Hagemann is 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 and can be reached out via phone at 201-447-8500.

Provider Profile Details

NPI Number
1104600683
Provider Name
Jamie Lynne Hagemann
Provider Entity Type
Individual
Gender
Female
Address
223 N Van Dien Ave, Ridgewood, NJ 07450-2726
Phone Number
201-447-8500
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 24, 2023
Last Update Date
September 3, 2025
Certification Date
September 3, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Zip
07450-2726
Phone Number
201-447-8500
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
3 Cardinal CT
Montvale, NJ 07645-2504
City
Montvale
State
NJ
Zip
07645-2504
Phone Number
201-783-2756

License Information

License Number (1)
26NJ14917400
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner · 363L00000X · Primary
License Number (2)
26NR19572500
License State (2)
NJ
Taxonomy (2)
Registered Nurse · 163W00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jamie L Hagemann?

The NPI number of Jamie L Hagemann is 1104600683. It was assigned on August 24, 2023 and is currently active in the NPPES registry.

What is the specialty of Jamie L Hagemann?

Jamie L Hagemann is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NJ under license number 26NJ14917400.

Where does Jamie L Hagemann practice?

The practice location is 223 N Van Dien Ave, Ridgewood, NJ 07450-2726. The office can be reached at 201-447-8500 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104600683 directly on the NPPES registry website.

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