Individual provider Active NPI

Hanan K Tawadrous, M.D.

  • Pediatric Nephrology Physician
  • Valhalla, NY
National Provider Identifier
1346554060
Registry record updated May 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
License
66956 Issued in CT
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

Updated by the provider on May 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, CT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20110502000397 NY Practitioner - Pediatric Medicine 1850576141 Reassigns benefits to 3 organizations
I20180306001123 NJ Practitioner - Pediatric MedicinePractitioner - Nephrology 1850576141 Reassigns benefits to 1 organization
I20201223001681 CT Practitioner - Pediatric Medicine 1850576141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
257841-1NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group Pediatrics CurrentSince Aug 6, 2024 Accepting new patients
Connecticut Children's Specialty Group, Inc. Pediatrics CurrentSince Nov 1, 2020 Accepting new patients
Amboy Medical Practice PC CurrentSince Nov 6, 2013 Accepting new patients
Connecticut Children's Specialty Group, Inc. Pediatrics CurrentSince Nov 1, 2020 Accepting new patients
University Physicians of Brooklyn, Inc. Current Accepting new patients
Boston Children's Health Physicians, LLP Pediatrics CurrentSince Aug 19, 2018 Accepting new patients
University Physicians of Brooklyn, Inc. Pediatrics CurrentSince Feb 15, 2012 Accepting new patients
Amboy Medical Practice PC Pediatrics CurrentSince Nov 6, 2013 Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Feb 15, 2012 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince Aug 19, 2018 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

  • Direct secure messaging: htawadrous57398@connecticutchildrens.direct-ci.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.