Active NPIIndividual provider

Jill Hagen, DPM

Podiatrist in Englewood, New Jersey

NPI Number1720001167
Practice location
363 Grand Ave, Englewood, NJ 07631-4104
Fax
201-568-7567
Last updated
June 23, 2026

Jill Hagen is a Podiatrist based in Englewood, NJ. Jill Hagen practices in Englewood, NJ and has the professional credentials of DPM. The NPI Number for Jill Hagen is 1720001167 and holds a License No. MD1961 (NJ). The current practice location address for Jill Hagen is 363 Grand Ave, Englewood, NJ 07631-4104 and can be reached out via phone at 201-568-6977 and via fax at 201-568-7567.

Provider Profile Details

NPI Number
1720001167
Provider Name
Jill Hagen
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
363 Grand Ave, Englewood, NJ 07631-4104
Phone Number
201-568-6977
Fax Number
201-568-7567
Primary Taxonomy
Podiatrist · 213E00000X
Sole Proprietor
No
Provider Enumeration Date
July 26, 2006
Last Update Date
June 23, 2026
Certification Date
June 23, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
363 Grand Ave
Englewood, NJ 07631-4104
Zip
07631-4104
Phone Number
201-568-6977
Fax Number
201-568-7567
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
363 Grand Ave
Englewood, NJ 07631-4104
City
Englewood
State
NJ
Zip
07631-4104
Phone Number
201-918-4000
Fax Number
201-568-7567

License Information

License Number
MD1961
License State
NJ
Taxonomy
Podiatrist · 213E00000X · Primary

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 Jill Hagen, DPM?

The NPI number of Jill Hagen, DPM is 1720001167. It was assigned on July 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Jill Hagen, DPM?

Jill Hagen, DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in NJ under license number MD1961.

Where does Jill Hagen, DPM practice?

The practice location is 363 Grand Ave, Englewood, NJ 07631-4104. The office can be reached at 201-568-6977 (phone) or 201-568-7567 (fax).

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 1720001167 directly on the NPPES registry website.

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