JACOB HEN JR. (NPI# 1992774384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992774384 |
| Entity Type | Individual |
| Full Name | JACOB HEN JR. |
| Credential | M.D. |
| Practice Address |
5520 Park Ave Nemg Trumbull CT 06611-3463 |
| Mailing Address |
5520 Park Ave Trumbull CT 06611 |
| Practice Telephone | 2033378600 |
| Practice Fax Number | 2033720109 |
| Mailing Telephone | 2033378600 |
| Mailing Fax Number | 2033720109 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2014-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
020710 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001207100 | 05 |
| Street Address |
5520 PARK AVE NEMG |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-3463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487652665 | David H Witt | Internal Medicine | 5520 Park Ave, Ste 203, Trumbull, CT 06611-3463 | 2005-07-12 |
| 1053947465 | Hyungbok H Jeong | Nurse Practitioner | 5520 Park Ave, Trumbull, CT 06611-3463 | 2020-03-17 |
| 1902375835 | Laura Elizabeth Morris | Physician Assistant | 5520 Park Ave, Trumbull, CT 06611-3463 | 2018-11-20 |
| 1629581053 | Sophie Jaffe | Social Worker | 5520 Park Ave, Trumbull, CT 06611-3463 | 2017-11-07 |
| 1154834786 | Jordan Marcou | Physician Assistant | 5520 Park Ave, Trumbull, CT 06611 | 2017-11-06 |
| 1013439769 | Alexis Grace Shaub | Physician Assistant | 5520 Park Ave, Trumbull, CT 06611-3463 | 2017-07-14 |
| 1902346224 | Catherine Wei | Internal Medicine | 5520 Park Ave, Trumbull, CT 06611-3463 | 2017-03-06 |
| 1649725656 | Jenna Addison | Registered Nurse | 5520 Park Ave, Trumbull, CT 06611-3463 | 2016-08-19 |
| 1447519582 | Jill Cooper Kenney | Naturopath | 5520 Park Ave, Trumbull, CT 06611-3463 | 2012-05-10 |
| 1457619660 | Pain & Spine Specialists of Connecticut LLC | Specialist | 5520 Park Ave, 303, Trumbull, CT 06611-3463 | 2012-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153326 | Justin Elijah Brantley | Physical Therapist | 888 White Plains Road Suite 209, Trumbull, CT 06611 | 2020-01-14 |
| 1184135733 | Stephen Graham | Speech-Language Pathologist | 126 Monroe Turnpike Suite #210, Trumbull, CT 06611 | 2017-10-22 |
| 1891214458 | Rachel Lopes | Social Worker | 132 Monroe Turnpike, 3rd Floor Suite 1, Trumbull, CT 06611 | 2017-09-14 |
| 1588193981 | James Geisler | Counselor | 23 Wilmot Ave., Trumbull, CT 06611 | 2017-06-08 |
| 1215463807 | Rodrigo Fernandez | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Avenue., Bridgeport Hospital Womens Health Care Center., Bridgeport, CT 06611 | 2017-05-03 |
| 1285087650 | Trumbull Pharmacy LLC | Pharmacy | 10 Broadway Road, Bldg B, Unit B, Trumbull, CT 06611 | 2016-07-20 |
| 1063897601 | Camilla Marie Schnaitmann | Social Worker | 132 Monroe Turnpike, Trumbull, CT 06611 | 2015-07-24 |
| 1194107318 | Alison R Kudish | Dentist | 160 Hawley Ln Ste 101, Trumbull, CT 06611 | 2015-06-24 |
| 1639456783 | Sagar Makanji | Pharmacist | 5065 Main Street, Ste Target, Target Pharmacy, Store 2361, Trumbull, CT 06611 | 2011-11-03 |
| 1639485956 | Beata Everett | Social Worker | 42 Craig Lane, Trumbull, CT 06611 | 2010-08-24 |
| Find all providers in zip 06611 | ||||
| Taxonomy Code | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871907642 | Sabhyata Agrawal | Pediatrics | 1 Park St # Wp-2, New Haven, CT 06504-8901 | 2014-06-19 |
| 1801862602 | Regina M Palazzo | Pediatrics | 6 Business Park Dr, 202, Branford, CT 06405-2988 | 2006-02-23 |
| 1629465141 | Laura Chen | Pediatrics | 20 York St Fl 2, New Haven, CT 06510-3220 | 2015-04-22 |
| 1851792170 | Sherin T. Panacherry | Pediatrics | 1 Park St, New Haven, CT 06504-8901 | 2014-09-05 |
| 1053655548 | Nutmeg Pediatric Pulmonary Services LLC | Pediatrics | 6 Business Park Dr, Suite 202, Branford, CT 06405-2988 | 2012-11-21 |
| 1770836827 | Natalie Rebecca Shilo | Pediatrics | 85 Seymour St Ste 500, Hartford, CT 06106-5524 | 2012-10-25 |
| 1134476658 | Sabina Q Ahmad | Pediatrics | 282 Washington St, Hartford, CT 06106-3322 | 2012-08-15 |
| 1114152733 | Anne Victoria Mclaughlin | Pediatrics | 282 Washington St, Hartford, CT 06106-3322 | 2009-05-27 |
| 1174792949 | Nutmeg Pediatric Pulmonary Services | Pediatrics | 60 Temple St, 7f, New Haven, CT 06510 | 2008-02-26 |
| 1659562031 | Melanie Sue Collins | Pediatrics | 282 Washington St, Suite 2b, Hartford, CT 06106 | 2007-08-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.