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

John P. Hallenbeck, DO

Individual provider Emergency Medicine Physician · NPI 1033152277

John P. Hallenbeck, DO is an Emergency Medicine in Passaic, New Jersey. Qualified in 1996, 30 years ago. Practices with Summit Medical Group PA, a 1,205-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
30
Licensed in
NJ, NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

350 Blvd
Passaic, NJ 07055-2840
Phone: (973) 365-4489
Fax: (973) 916-2032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 25MB07097200 (NJ)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MB70972 (NJ)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 284860 (NY)

Record details

NPI number1033152277
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 14, 2006
Last updated in NPPESJuly 24, 2019
Mailing address1345 Rxr Plz Fl 13, Uniondale, NY 11556-1301

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Summit Medical Group Pa — 1205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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