Active NPIIndividual provider

Jesse Hackell, MD

Pediatrics in Pomona, New York

NPI Number1730278185
Practice location
4 Medical Park Dr, Suite C, Pomona, NY 10970-3516
Fax
845-362-1347
Last updated
July 8, 2007

Jesse Hackell is a Pediatrics based in Pomona, NY. Jesse Hackell practices in Pomona, NY and has the professional credentials of MD. The NPI Number for Jesse Hackell is 1730278185 and holds a License No. 145137 (NY). The current practice location address for Jesse Hackell is 4 Medical Park Dr, Suite C, Pomona, NY 10970-3516 and can be reached out via phone at 845-362-0202 and via fax at 845-362-1347.

Provider Profile Details

NPI Number
1730278185
Provider Name
Jesse Hackell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4 Medical Park Dr, Suite C, Pomona, NY 10970-3516
Phone Number
845-362-0202
Fax Number
845-362-1347
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
October 12, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Medical Park Dr
Suite C
Pomona, NY 10970-3516
City
Pomona
Zip
10970-3516
Phone Number
845-362-0202
Fax Number
845-362-1347
Pomona, NY 10970Get directions →

Provider Business Mailing Address Details

Address
4 Medical Park Dr
Suite C
Pomona, NY 10970-3516
City
Pomona
State
NY
Zip
10970-3516
Phone Number
845-362-0202
Fax Number
845-362-1347

License Information

License Number
145137
License State
NY
Taxonomy
Pediatrics · 208000000X · 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 Jesse Hackell, MD?

The NPI number of Jesse Hackell, MD is 1730278185. It was assigned on October 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Jesse Hackell, MD?

Jesse Hackell, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NY under license number 145137.

Where does Jesse Hackell, MD practice?

The practice location is 4 Medical Park Dr, Suite C, Pomona, NY 10970-3516. The office can be reached at 845-362-0202 (phone) or 845-362-1347 (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 1730278185 directly on the NPPES registry website.

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