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Despee Bockarie Konneh , PA-C

Physician Assistant β€’ Hackensack, NJ

Active NPI 1417955279 Individual Practitioner Male Practitioner
Practice location in NPPES

30 Prospect Ave
Hackensack, NJ 076011915

Call 5519962000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

30 Prospect Ave

Hackensack, NJ 076011915

Telephone 5519962000
Organization at the Same NPPES Address or Phone
Hackensack University Medical Center Facility NPI 1609862036

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Hackensack and New Jersey

106 active clinicians are listed under Physician Assistant with a practice address in Hackensack, NJ (3,397 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Hackensack

6.6% of these 106 clinicians have the CMS telehealth indicator.

59.4% of these 106 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES NJ 25MP00493300

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

13 listed
NPI 1083175897

Doctor of Medicine (M.D.)

Dr. Daniel Bautista , MD

Emergency Medicine

NPI 1053849620

Doctor of Medicine (M.D.)

Jose Deschamps

Emergency Medicine

NPI 1003344920
Lisa Ha

Nurse Practitioner - Acute Care

NPI 1043603459
Younglak Hong

Family Medicine - Hospice and Palliative Medicine

NPI 1063152536
Dr. John Kane , MD

Emergency Medicine

NPI 1093343410

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location November 02, 2018

Registered at 30 PROSPECT AVE, HACKENSACK, NJ 076011915 (Tel: 5519962000)

πŸ“
Updated Business Mailing Address November 02, 2018

Registered at 30 PROSPECT AVE, HACKENSACK, NJ 076011915 (Tel: 5519962000)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2018

Physician Assistant (license number reported to NPPES: NJ 25MP00493300)

βœ…
NPI Profile Active June 03, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 03, 2008

Registered at 10750 WESTBRAE PKWY, #1907, HOUSTON, TX 770312431 (Tel: 8325190884)

πŸ“
Business Mailing Address (Initial Record) June 03, 2008

Registered at 10750 WESTBRAE PKWY, #1907, HOUSTON, TX 770312431 (Tel: 8325190884)

πŸ‘€
Provider Name / Credentials (Initial Record) June 03, 2008

Recorded as DESPEE KONNEH, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2008

Physician Assistant (license number reported to NPPES: TX PA 05404)

🟒
Initial NPI Registration & Enumeration July 14, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1417955279
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2005
Last Update: November 02, 2018
Sole Proprietor: No

Other Physician Assistants in Hackensack

All Physician Assistants in Hackensack

Mailing Address

30 Prospect Ave

Hackensack, NJ 076011915

Phone: 5519962000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.