JESSE HUMM M.D.
NPI 1629427000
Pediatrics - Pediatric Emergency Medicine in Hackensack, NJ

Active since June 07, 2016PECOS Enrolled
30 PROSPECT AVE, HACKENSACK, NJ 07601(551) 996-5430 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jesse Humm M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSE HUMM M.D. (NPI 1629427000) is an individual pediatric emergency medicine provider in Hackensack, New Jersey, licensed in New Jersey (25MA11510400) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in New Haven, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1629427000
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameJESSE HUMMCredential: M.D.
Location Address30 PROSPECT AVEHackensack, NJ 07601-1915
Mailing Address89 Miller AveTarrytown, NY 10591-4420 · (347) 578-4796
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 7, 2016
Last NPPES UpdateAugust 24, 2022
NPPES CertifiedAugust 24, 2022
NPI 1629427000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License Licensed in NJ · 25MA11510400
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
30 PROSPECT AVE, Hackensack, NJ 07601

Secondary Practice Location 1

Location 1789 Howard AveNew Haven, CT 06519-1304 · Phone (203) 688-5555

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jesse Humm M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193057107
PECOS Enrollment IDI20251111000207
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology (Maternal & Fetal Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Pediatrics (Adolescent Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Nurse Practitioner (Adult Health)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesse Humm's NPI number?

The NPI number for Jesse Humm is 1629427000. It was assigned to this individual provider in the NPPES registry on June 7, 2016.

Where is Jesse Humm located?

Jesse Humm practices at 30 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (551) 996-5430.

What is Jesse Humm's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Jesse Humm enrolled in Medicare?

Yes. Jesse Humm is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jesse Humm was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.