Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Sean Matthew Hacking, MB, BCH, BAO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740708049

Dr. Sean Matthew Hacking, MB, BCH, BAO is a Pathology in Providence, Rhode Island. Qualified in 2017, 9 years ago. Practices with New York University, a 5,884-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-5057
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6 Ohio Dr, New Hyde Park, NY 11042-1124 — (516) 304-7284

Specialties & licences

Anatomic Pathology Physician (primary) Taxonomy 207ZP0101X · Licence 312719 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1740708049
Entity typeIndividual (Type 1)
GenderMale
Credentials MB , BCH , BAO
Sole proprietorNo
NPI enumeratedSeptember 7, 2017
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Providence