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

Jacob Moninghoff

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669012449

Jacob Moninghoff is a Physician Assistant in Hartford, Connecticut. Qualified in 2021, 5 years ago. Practices as a sole proprietor.

Years since qualifying
5
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

80 Seymour St
Hartford, CT 06106-3315
Phone: (610) 984-4125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1669012449
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 9, 2020
Last updated in NPPESApril 19, 2021
Certification dateApril 19, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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