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

Ty Hagen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1952187650

Ty Hagen is a Student in an Organized Health Care Education/Training Program in Laurel Springs, New Jersey. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

709 Park Ave
Laurel Springs, NJ 08021-3131
Phone: (609) 781-1744
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1952187650
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 7, 2023
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025
Mailing address709 Park Ave, Laurel Springs, NJ 08021-3131