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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629427000

Jesse Humm, MD is a Pediatric Medicine in Hackensack, New Jersey. Qualified in 2016, 10 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in New Jersey.

Years since qualifying
10
Licensed in
NJ
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone: (551) 996-5430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 789 Howard Ave, New Haven, CT 06519-1304 — (203) 688-5555

Specialties & licences

Pediatric Emergency Medicine (Pediatrics) Physician (primary) Taxonomy 2080P0204X · Licence 25MA11510400 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1629427000
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 7, 2016
Last updated in NPPESAugust 24, 2022
Certification dateAugust 24, 2022
Mailing address89 Miller Ave, Tarrytown, NY 10591-4420

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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