Jensen Hodecker

Physician Assistant · Mount Laurel, NJ

Individual Active NPI

NPI number 1417779562

Practice location

101 Gaither Dr
Mount Laurel, NJ 08054-1701
Phone
(856) 810-9888

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NPI record

NPI
1417779562
Entity type
Individual (Type 1)
Enumeration date
October 29, 2024
Last updated
September 14, 2025
Certified
September 14, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X MA066114 PA
Physician Assistant 363A00000X — —

Mailing address

500 N 21st St Apt 715
Philadelphia, PA 19130-4253

About Jensen Hodecker

Jensen Hodecker is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 101 Gaither Dr, Mount Laurel, NJ 08054-1701. The NPI number 1417779562 was assigned on October 29, 2024 and the record was last updated on September 14, 2025.

Jensen Hodecker lists a license in the registry: #MA066114 (PA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jensen Hodecker?

The NPI number is 1417779562.

What is the phone number of Jensen Hodecker?

The phone number listed for the practice location is (856) 810-9888.

Where is Jensen Hodecker located?

101 Gaither Dr, Mount Laurel, NJ 08054-1701.

What is the taxonomy code for Jensen Hodecker?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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