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

Jensen Hodecker

Individual provider Physician Assistant · NPI 1417779562

Jensen Hodecker is a Physician Assistant in Mount Laurel, New Jersey. Qualified in 2024, 2 years ago. Practices with South Jersey Skin Care and Laser Center, PC, a 7-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
2
Licensed in
PA
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

101 Gaither Dr
Mount Laurel, NJ 08054-1701
Phone: (856) 810-9888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA066114 (PA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1417779562
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 29, 2024
Last updated in NPPESSeptember 14, 2025
Certification dateSeptember 14, 2025
Mailing address500 N 21st St Apt 715, Philadelphia, PA 19130-4253

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice South Jersey Skin Care And Laser Center, P.C. — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mount Laurel