Organization Active NPI

Hanover Healthcare LLC

  • Community/Retail Pharmacy
  • East Hanover, NJ
National Provider Identifier
1063554178
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5670 Issued in NJ
Legal business name
HANOVER HEALTHCARE LLC
Doing business as
Hanover Pharmacy
Practice address
434 Ridgedale Ave
East Hanover, NJ 07936-1403
Phone
(973) 781-9877
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Authorized official

Name
Mr. Michael Auslander, R PH.
Title
Owner
Phone
(973) 781-9877

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5670 NJ
Community/Retail Pharmacy 3336C0003X 5670 NJ Primary

Addresses

Primary practice location

434 Ridgedale Ave
East Hanover, NJ 07936-1403

Mailing address

434 Ridgedale Ave
East Hanover, NJ 07936-1403
Phone (973) 781-9877

Other identifiers 2

IdentifierTypeStateIssuer
3140376OtherNJNCPDP
7797907MedicaidNJ

Other names 1

  • Hanover Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090810000385 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 2062566052 Practice locations: East Hanover, NJ
O20100930028672 NJ DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 2062566052 Practice locations: East Hanover, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Hanover Healthcare LLC434 Ridgedale Ave, East Hanover, NJ 07936-1450(973) 781-9877 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 1, 2014

National Provider Directory

National Provider Directory

Locations

434 Ridgedale Ave
Ste 4
East Hanover, NJ 07936

434 Ridgedale Ave
East Hanover, NJ 07936
Phone (973) 781-9877

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1063554178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 RIDGEDALE AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079361403",
            "telephone_number": "973-781-9877",
            "fax_number": "973-781-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 RIDGEDALE AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079361403",
            "telephone_number": "973-781-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "AUSLANDER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-781-9877",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "5670",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "5670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3140376",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7797907",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hanover Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Hanover, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.