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

Jonathon Thomas Haverty, DO

Individual provider Emergency Medicine Physician · NPI 1760987549

Jonathon Thomas Haverty, DO is an Emergency Medicine in Hackensack, New Jersey. Qualified in 2018, 8 years ago. Practices with Hackensack Meridian Health Medical Group - Primary Care PC, a 364-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
8
Licensed in
NJ, NY
In the registry since
2018
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

20 Prospect Ave
Hackensack, NJ 07601-1997
Phone: (201) 996-2222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 300 Community Dr, Manhasset, NY 11030-3816 — (516) 562-0100
  • 27005 76th Ave, New Hyde Park, NY 11040-1402 — (718) 470-7000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 25MB11428200 (NJ)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 309053 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1760987549
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 26, 2018
Last updated in NPPESJune 23, 2022
Certification dateJune 23, 2022
Mailing address30 Prospect Ave, Hackensack, NJ 07601-1915

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Hackensack Meridian Health Medical Group - Primary Care Pc — 364 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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