Individual provider Active NPI

Alberta Hanan, APN

  • Family Nurse Practitioner
  • Ocean, NJ
National Provider Identifier
1053960187
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00933900 Issued in NJ
Practice address
804 W Park Ave BLDG a
Ocean, NJ 07712-7272
Phone
(732) 201-2022
NPI assigned
Sep 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00933900 NJ Primary

Addresses

Primary practice location

804 W Park Ave BLDG a
Ocean, NJ 07712-7272

Mailing address

PO Box 22581
New York, NY 10087-2581
Phone (610) 482-4795

Other practice location 1

3469 Route 9 N
Howell, NJ 07731-3305
Phone (732) 202-2297

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alberta.hanan@axia.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200108002064 NJ Practitioner - Nurse Practitioner 5698100212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

188 Fries Mill Rd
N1
Turnersville, NJ 08012-2055
Phone (856) 875-0505

4 Industrial Way W
Lower Level B2
Eatontown, NJ 07724-4238
Phone (732) 695-2040

Hospital & facility affiliations

  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075
  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00933900NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Women'S Health Group, LLC CurrentSince Jan 12, 2020 Accepting new patients
Regional Womens Health Group LLC CurrentSince Jan 12, 2020 Accepting new patients

Locations

3469 US Highway 9
Howell, NJ 07731
Phone (732) 201-2297

338 Belleville Tpke
Kearny, NJ 07032
Phone (201) 991-3838

804 W Park Ave
Bldg A
Ocean, NJ 07712
Phone (732) 201-2022

188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023

227 Laurel Rd
Ste 300
Voorhees, NJ 08043
Phone (856) 669-6025

Interoperability endpoints

  • Direct secure messaging: alberta.hanan@axia.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1053960187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22581",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100872581",
            "telephone_number": "610-482-4795",
            "fax_number": "856-528-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 W PARK AVE BLDG A",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077127272",
            "telephone_number": "732-201-2022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3469 Route 9 N",
            "address_purpose": "LOCATION",
            "city": "Howell",
            "state": "NJ",
            "postal_code": "077313305",
            "country_code": "US",
            "telephone_number": "732-202-2297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANAN",
        "first_name": "ALBERTA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00933900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alberta.hanan@axia.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "804 W Park Ave Bldg A",
            "city": "Ocean",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077127272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

Verify at the official NPI Registry.