Individual provider Active NPI

Gabriel Hannawi

  • Chiropractor
  • Totowa, NJ
National Provider Identifier
1013332055
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00715100 Issued in NJ
Practice address
351 Union Blvd
Totowa, NJ 07512-2556
Phone
(201) 563-7095
Fax
(862) 239-1769
NPI assigned
Feb 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00715100 NJ Primary

Addresses

Primary practice location

351 Union Blvd
Totowa, NJ 07512-2556

Mailing address

351 Union Blvd
Totowa, NJ 07512-2556
Phone (862) 239-1768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140424000689 NJ Practitioner - Chiropractic 8628201886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Spine and Sports Care of TotowaGroup PAC ID 3779894415, 4 clinicians

Practice addresses (Care Compare)

351 Union Blvd
Totowa, NJ 07512-2556
Phone (862) 239-1768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Spine and Sports Care of Totowa Chiropractor CurrentSince Jun 1, 2015 Accepting new patients
Elite Spine and Sports Care of Paramus Corporation CurrentSince Jul 15, 2024 Accepting new patients
Elite Spine and Sports Care of Fort Lee PC Chiropractor CurrentSince Nov 13, 2019 Accepting new patients

Locations

37 W Century Rd
Ste 111
Paramus, NJ 07652
Phone (201) 262-2244

351 Union Blvd
Totowa, NJ 07512
Phone (201) 563-7095

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1013332055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122556",
            "telephone_number": "862-239-1768",
            "fax_number": "862-239-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122556",
            "telephone_number": "201-563-7095",
            "fax_number": "862-239-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAWI",
        "first_name": "GABRIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00715100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.