Active NPI
HD Medical Group LLC
- Cardiovascular Disease Physician
- Ridgewood, NJ
National Provider Identifier
1053553362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25MA04027200
- Legal business name
- HD MEDICAL GROUP LLC
- Practice address
- 51 Chestnut St
Ridgewood, NJ 07450-3873 - Phone
- (201) 670-9215
- NPI assigned
- Apr 1, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fouad Hanna, MD
- Title
- Owner
- Phone
- (201) 670-9215
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 25MA04027200 | NJ | Primary |
Addresses
Primary practice location
51 Chestnut St
Ridgewood, NJ 07450-3873
Mailing address
51 Chestnut St
Ridgewood, NJ 07450-3873
Phone (201) 670-9215
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8206104 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238544000000",
"number": "1053553362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 CHESTNUT ST",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074503873",
"telephone_number": "201-670-9215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 CHESTNUT ST",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074503873",
"telephone_number": "201-670-9215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HD MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-01",
"last_updated": "2009-04-01",
"status": "A",
"authorized_official_last_name": "HANNA",
"authorized_official_first_name": "FOUAD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-670-9215",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA04027200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8206104",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.