John James Hagedorn
NPI 1962134254ActiveIndividual· Physician Assistant· Poughkeepsie, NY
Physician Assistant with North Shore-Lij Medical PC, practicing in Poughkeepsie, New York. Part D covered 11 prescriptions written in 2024. Lists Phelps Hospital as a hospital affiliation.
Overview
| NPI | 1962134254 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jun 27, 2022 |
| Last updated in NPPES | Jun 27, 2022 |
| Certified by provider | Jun 27, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NY) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 11 · 11 30-day fills |
|---|---|
| Total drug cost | $1,505 |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- North Shore-Lij Medical PCStaten Island, NY · 6,440 clinicians
Hospital affiliation
- Phelps HospitalSleepy Hollow, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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