Todd C Hanna, M.D, D.D.S

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

280373 Issued in NY

Practice address

521 Park Ave Ste C
New York, NY 10065-8140

Phone

(212) 779-2787

Fax

(212) 779-3875

NPI assigned

Jun 19, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2021 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Park Avenue East Medical Suites PLLC

  • Plastic and Reconstructive Surgery Physician
  • New York, NY
  • NPI 1407747793
  NPD Authorized official

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1184885451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 PARK AVE STE C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658140",
            "telephone_number": "212-779-2787",
            "fax_number": "212-779-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 PARK AVE STE C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658140",
            "telephone_number": "212-779-2787",
            "fax_number": "212-779-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "TODD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D, D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NY",
            "license": "280373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Hanna, CNP
• Rafik Hanna, MD
• Samantha Hanna
• Sean Hanna, MD
• Steven Alexander Hanna, MD
• Veronia Hanna
• Hanna'S Corporation for Professional Services
• Jo A Hannafin, M.D.,PH.D
• Hannah Tishman Psychotherapy, LCSW P.C.
• Simone Hannah-Clark, NP

• Surgical Oncology Physician in New York, NY
• Providers in New York, NY by specialty
• Surgical Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.