Mamdouh S Hanna, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA07574700 Issued in NJ

Practice address

29 E 29TH St
Bayonne, NJ 07002-4654

Phone

(201) 858-5000

NPI assigned

Jun 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

AnesthesiologyAlso: Pain Management

Education

Other, 1986

Medicare assignment

May accept Medicare assignment

Group practices

Centurion Anesthesia Surgical Centers LLCGroup PAC ID 9537551254, 51 clinicians

Canj Anesthesia LLCGroup PAC ID 6709278740, 75 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hudson Regional Hospital Hospital, Secaucus, NJ, CCN 310118

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mamdouh.hanna@hudsonp.ehi.direct-ci.com
• Direct secure messaging: mamdouh.hanna@direct.bayonnemedicalcenter.md

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.

• Bayonne Pain Management Center, LLC

  • Interventional Pain Medicine Physician
  • Bayonne, NJ
  • NPI 1437633492
  Medicare reassignment NPD Authorized official
• Canj Anesthesia LLC

  • Anesthesiology Physician
  • Secaucus, NJ
  • NPI 1881353662
  Medicare reassignment Care Compare group NPD
• Hudson Pain Managment Center, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Bayonne, NJ
  • NPI 1770781262
  Medicare reassignment NPD Authorized official
• Centurion Anesthesia Surgical Centers LLC

  • Anesthesiology Physician
  • Valley Stream, NY
  • NPI 1326707100

  NJ

  Medicare reassignment Care Compare group NPD
• Garden State Healthcare Associates, LLC

  • Emergency Medicine Physician
  • Bayonne, NJ
  • NPI 1700014545
  Medicare reassignment NPD
• Specialty Surgical Center, LLC

  • Anesthesiology Physician
  • Sparta, NJ
  • NPI 1821398199
  Medicare reassignment NPD
• Ijkg Opco LLC

  • Skilled Nursing Facility
  • Bayonne, NJ
  • NPI 1437356755
  NPD
• Specialty Surgical Center LLC

  • Clinic/Center
  • Sparta, NJ
  • NPI 1932241148
  NPD
• County Wide Anesthesia Group, LLC

  • Specialist
  • Paterson, NJ
  • NPI 1568465979
  NPD (past)
• Jal 28 LLC

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1063278281
  NPD (past)

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

• Njmhmc, LLC

  • General Acute Care Hospital
  • Secaucus, NJ
  • NPI 1710491253
  Care Compare affiliation

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073517462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 464",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070700464",
            "telephone_number": "201-804-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 E 29TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024654",
            "telephone_number": "201-858-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "MAMDOUH",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07574700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0039934",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John C Hahn, M.D.
• Peter Halecky
• Philip Hall, MD
• Randa Mounah Hamadeh, M.D.
• Ashkan Hamzelou, D.O.
• Maria Hanna
• Sherry Hanna
• Nadeem Ul Haque, MD
• Mary Trez Hasaballa, PHARMD
• Zaher Mohammad Said Hashemi, M.D.

• Specialist in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.