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JACOB HEN JR. M.D.
NPI 1992774384
Pediatrics - Pediatric Pulmonology in Trumbull, CT

Active since March 16, 2006PECOS Enrolled
5520 PARK AVE, NEMG, TRUMBULL, CT 06611(203) 337-8600(203) 372-0109 Get Directions Write a Review

NPPES record last updated: December 8, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jacob Hen Jr. M.d. NPPES

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

JACOB HEN JR. M.D. (NPI 1992774384) is an individual pediatric pulmonology provider in Trumbull, Connecticut, licensed in Connecticut (020710) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992774384
Entity TypeIndividualMale
Primary Taxonomy2080P0214X
Provider Legal NameJACOB HEN JR.Credential: M.D.
Location Address5520 PARK AVE, NEMGTrumbull, CT 06611-3463
Mailing Address5520 Park AveTrumbull, CT 06611 · (203) 337-8600 · Fax (203) 372-0109
Phone(203) 337-8600
Fax(203) 372-0109
Sole ProprietorNo
Enumeration DateMarch 16, 2006
Last NPPES UpdateDecember 8, 2014
✔ NPI 1992774384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
License✔ Licensed in CT · 020710
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
5520 PARK AVE, Trumbull, CT 06611
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Other Identifiers 3

Medicare ID-Type Unspecified370000696CT
Medicaid001207100CT
Medicare UPINE31758CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Hen Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jacob Hen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northeast Medical Group, Inc.
4.9 mi
Internal Medicine
226 MILL HILL AVENUE, 3RD FLR
Bridgeport, CT 06610
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,824 clinicians in this Medicare group
NPI 1043278351 (203) 384-3975

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

SUSANNA DAHL CRONMILLER F.N.P, APRN
Nurse Practitioner (Family)
5520 PARK AVE
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 502-8400
MRS. ALEXIS GRACE SHAUB PA
Physician Assistant (Medical)
5520 PARK AVE
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 502-8400
DR. TIMOTHY JOHN HEITZMAN PH.D.
Psychologist
5520 PARK AVE, SUITE 206
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 612-0908
JENNIFER ZHANG APRN
Nurse Practitioner (Family)
5520 PARK AVE
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 502-8400
ROBIN BERGER MD
Obstetrics & Gynecology
5520 PARK AVE, SUITE 302
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 374-1018
CONNECTICUT PAIN CARE, P.C.
Specialist
5520 PARK AVE, SUITE 303
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 373-7330
DR. KERRY WRIGHT D.O.
Obstetrics & Gynecology
5520 PARK AVE, SUITE 302
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (845) 418-0763
HYUNGBOK H JEONG
Nurse Practitioner (Family)
5520 PARK AVE
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 371-5873

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 Jacob Hen's NPI number?

The NPI number for Jacob Hen is 1992774384. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Jacob Hen located?

Jacob Hen practices at 5520 Park Ave Nemg, Trumbull, CT 06611. The listed phone number is (203) 337-8600.

What is Jacob Hen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Jacob Hen enrolled in Medicare?

Yes. Jacob Hen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacob Hen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Hen reassigns Medicare benefits to Northeast Medical Group, Inc. (Bridgeport, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Hen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Hen accept?

Health plans from Anthem Blue Cross and Blue Shield list Jacob Hen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Hen was last updated on December 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.