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

John James Hagedorn

Individual provider Physician Assistant · NPI 1962134254

John James Hagedorn is a Physician Assistant in Poughkeepsie, New York. Qualified in 2022, 4 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

241 N Rd
Poughkeepsie, NY 12601-1154
Phone: (845) 483-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1962134254
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 27, 2022
Last updated in NPPESJune 27, 2022
Certification dateJune 27, 2022
Mailing address19 Bradhurst Ave Ste 3100n, Hawthorne, NY 10532-2140

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Poughkeepsie