Active NPI
Hanan K Tawadrous, M.D.
- Pediatric Nephrology Physician
- Valhalla, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nephrology Physician
- License
- 66956
- Practice address
- 100 Woods Rd
Valhalla, NY 10595-1530 - Phone
- (914) 614-2900
- NPI assigned
- Aug 5, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 257841-1 | NY | |
| Pediatric Nephrology Physician | 2080P0210X | 257841-1 | NY | |
| Pediatric Nephrology Physician | 2080P0210X | 25MA08303700 | NJ | |
| Pediatric Nephrology Physician | 2080P0210X | 66956 | CT | Primary |
Addresses
Primary practice location
100 Woods Rd
Valhalla, NY 10595-1530
Mailing address
703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-2570
Other practice location 1
450 Clarkson Ave
Suite B4-333
Brooklyn, NY 11203-2012
Phone (718) 270-4714
Other practice location 2
703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-2570
Other practice location 3
11 Overlook Rd Ste 230
Summit, NJ 07901-3580
Phone (973) 971-5649
Other practice location 4
55 Madison Ave Fl 2
Morristown, NJ 07960-7337
Phone (973) 971-5649
Other practice location 5
100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 614-2900
Other practice location 6
100 Woods Street
100 Woods Street
Valhalla, NY 10595
Phone (914) 614-2900
Other practice location 7
100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 614-2900
Other practice location 8
282 Washington St Ste B
Hartford, CT 06106-3322
Phone (860) 545-9395
Other practice location 9
100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 614-2900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 257841-1 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Practice Associates Medical Group | Pediatrics | Current | Accepting new patients |
| Connecticut Children's Specialty Group, Inc. | Pediatrics | Current | Accepting new patients |
| Amboy Medical Practice PC | Current | Accepting new patients | |
| Connecticut Children's Specialty Group, Inc. | Pediatrics | Current | Accepting new patients |
| University Physicians of Brooklyn, Inc. | Current | Accepting new patients | |
| Boston Children's Health Physicians, LLP | Pediatrics | Current | Accepting new patients |
| University Physicians of Brooklyn, Inc. | Pediatrics | Current | Accepting new patients |
| Amboy Medical Practice PC | Pediatrics | Current | Accepting new patients |
| University Physicians of Brooklyn, Inc. | Current | Accepting new patients | |
| Boston Childrens Health Physicians LLP | Current | Accepting new patients |
Locations
10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619
282 Washington St
Hartford, CT 06106
Phone (860) 545-8950
10 Columbus Blvd
Fl 4
Hartford, CT 06106
Phone (860) 837-5560
282 Washington St
Ste B
Hartford, CT 06106
Phone (860) 545-9395
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130
703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240
703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
11 Overlook Rd
Summit, NJ 07901
Phone (908) 273-1493
11 Overlook Rd
Ste 230
Summit, NJ 07901
Phone (973) 971-4142
450 Clarkson Ave
#80
Brooklyn, NY 11203
Phone (718) 613-8481
450 Clarkson Ave
Ste B4333
Brooklyn, NY 11203
Phone (718) 270-2310
450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603
19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235
19 Bradhurst Ave
Ste 2400
Hawthorne, NY 10532
Phone (914) 593-8850
4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015
100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- htawadrous57398@connecticutchildrens.direct-ci.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 10
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.
-
- Pediatrics Physician
- Hawthorne, NY
- NPI 1467454967
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1366506271
-
dba Atlantic Medical Group
- Internal Medicine Physician
- Morristown, NJ
- NPI 1427016385
Pediatrics
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1104692672
-
dba Boston Childrens Health Physicians Pediatric Endocrinology Division
- Clinical Medical Laboratory
- Sleepy Hollow, NY
- NPI 1588651079
-
dba Downstate Health Physicians
- Pediatrics Physician
- Brooklyn, NY
- NPI 1649227190
-
dba Downstate Health Physicians
- Child & Adolescent Psychiatry Physician
- Brooklyn, NY
- NPI 1689715476
-
- Ophthalmology Physician
- Glastonbury, CT
- NPI 1568056984
Pediatrics
-
- Pediatrics Physician
- Hartford, CT
- NPI 1669448882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747440000000",
"number": "1346554060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 MAIN ST",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075032621",
"telephone_number": "973-754-2570",
"fax_number": "718-270-1985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WOODS RD",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951530",
"telephone_number": "914-614-2900"
}
],
"practiceLocations": [
{
"address_1": "450 Clarkson Ave",
"address_2": "Suite B4-333",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112032012",
"country_code": "US",
"telephone_number": "718-270-4714",
"fax_number": "718-270-1985",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "703 Main St",
"address_purpose": "LOCATION",
"city": "Paterson",
"state": "NJ",
"postal_code": "075032621",
"country_code": "US",
"telephone_number": "973-754-2570",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11 Overlook Rd Ste 230",
"address_purpose": "LOCATION",
"city": "Summit",
"state": "NJ",
"postal_code": "079013580",
"country_code": "US",
"telephone_number": "973-971-5649",
"fax_number": "973-898-1604",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Madison Ave Fl 2",
"address_purpose": "LOCATION",
"city": "Morristown",
"state": "NJ",
"postal_code": "079607337",
"country_code": "US",
"telephone_number": "973-971-5649",
"fax_number": "973-898-1604",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Woods Rd",
"address_purpose": "LOCATION",
"city": "Valhalla",
"state": "NY",
"postal_code": "105951530",
"country_code": "US",
"telephone_number": "914-614-2900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Woods Street",
"address_2": "100 Woods Street",
"address_purpose": "LOCATION",
"city": "Valhalla",
"state": "NY",
"postal_code": "10595",
"country_code": "US",
"telephone_number": "914-614-2900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Woods Rd",
"address_purpose": "LOCATION",
"city": "Valhalla",
"state": "NY",
"postal_code": "105951530",
"country_code": "US",
"telephone_number": "914-614-2900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "282 Washington St Ste B",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061063322",
"country_code": "US",
"telephone_number": "860-545-9395",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Woods Rd",
"address_purpose": "LOCATION",
"city": "Valhalla",
"state": "NY",
"postal_code": "105951530",
"country_code": "US",
"telephone_number": "914-614-2900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAWADROUS",
"first_name": "HANAN",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-05",
"last_updated": "2025-05-17",
"certification_date": "2025-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "257841-1",
"primary": false
},
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "NY",
"license": "257841-1",
"primary": false
},
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "NJ",
"license": "25MA08303700",
"primary": false
},
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "CT",
"license": "66956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2025; 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.