Active NPI
Nader R Hanna, M.D.
- Family Medicine Physician
- Bronx, NY
National Provider Identifier
1043434731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 224567
- Practice address
- 820 E Tremont Ave
Bronx, NY 10460-4146 - Phone
- (718) 466-4662
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 224567 | NY | Primary |
Addresses
Primary practice location
820 E Tremont Ave
Bronx, NY 10460-4146
Mailing address
2295 Halyard Dr
Merrick, NY 11566-5526
Phone (631) 655-5646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02359213 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040416001191 | NY | Practitioner - Internal Medicine | 4082609243 | Practice locations: Bronx, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
820 E Tremont Ave
Bronx, NY 10460-4146
Phone (718) 466-4662
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gramercy Cardiac Diagnostic Services, P.C. | Single Specialty | Past | Accepting new patients |
| Versacare, Inc. | Single Specialty | Past | Accepting new patients |
| Doshi Diagnostic Imaging Services PC | Single Specialty | Past | Accepting new patients |
| SBH Physicians, PC | Single Specialty | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Hicksville, NY
- NPI 1720031339
Single Specialty
-
- Nuclear Cardiology Physician
- Brooklyn, NY
- NPI 1194016618
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1043434731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2295 HALYARD DR",
"city": "MERRICK",
"state": "NY",
"postal_code": "115665526",
"telephone_number": "631-655-5646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 E TREMONT AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104604146",
"telephone_number": "718-466-4662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "NADER",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NY",
"license": "224567",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02359213",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.