Active NPI
Moneer K. Hanna, M.D.
- Urology Physician
- Great Neck, NY
National Provider Identifier
1215968540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 129247
- Practice address
- 935 Northern Blvd
Suite 303
Great Neck, NY 11021-5309 - Phone
- (516) 466-6950
- Fax
- (516) 466-1935
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 36841 | NJ | |
| Urology Physician | 208800000X | 129247 | NY | Primary |
Addresses
Primary practice location
935 Northern Blvd
Suite 303
Great Neck, NY 11021-5309
Mailing address
89 Kingswood Rd
Weehawken, NJ 07086-6908
Phone (201) 974-8824
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60219400 | Medicaid | NY | |
| 129247 | Other | NY | LICENSE |
| 36841 | Other | NJ | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36841 | NJ | MD | Urology Physician |
Interoperability endpoints
- moh2001@direct.nyp.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215968540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 KINGSWOOD RD",
"city": "WEEHAWKEN",
"state": "NJ",
"postal_code": "070866908",
"telephone_number": "201-974-8824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 NORTHERN BLVD",
"address_2": "SUITE 303",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215309",
"telephone_number": "516-466-6950",
"fax_number": "516-466-1935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "MONEER",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NJ",
"license": "36841",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "129247",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60219400",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "129247",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "36841",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Great Neck, NY
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.