Maryam Hamdan

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AG06230040 Issued in NJ

Practice address

709 Hoover Way
Woodbridge, NJ 07095-1047

Phone

(732) 754-3576

NPI assigned

Sep 14, 2023

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1265219083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 HOOVER WAY",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951047",
            "telephone_number": "732-754-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 HOOVER WAY",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951047",
            "telephone_number": "732-754-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMDAN",
        "first_name": "MARYAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "AG06230040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Modern Health, P.C.
• Regina M. Gumucio, D.M.D.
• Terri Dawn Haberman, O.D.
• Robert Halladay Jr., PARAPROFESSIONAL
• Sohal S Hallur, PT
• Dean S Hameda
• Fauzia Hameed, M.D.
• Hands at Work Inc
• Health Plan Systems Inc.
• Healthstat on-Site Clinic-Plymouth Rock MGT Group

• Gerontology Nurse Practitioner in Woodbridge, NJ
• Providers in Woodbridge, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.