Active NPI
Aghnatious a Hanna Awadalla Hanna, MD
- Ophthalmology Physician
- Hackensack, NJ
National Provider Identifier
1366954091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 426745
- Practice address
- 316 Prospect Ave
Hackensack, NJ 07601-2625 - Phone
- (201) 923-0454
- Fax
- (973) 827-6636
- NPI assigned
- Nov 3, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 426745 | NY | Primary |
Addresses
Primary practice location
316 Prospect Ave
Hackensack, NJ 07601-2625
Mailing address
316 Prospect Ave
Hackensack, NJ 07601-2625
Phone (201) 923-0454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0-426-745-6 | Other | ECFMG |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 426745 | NY | MD | Ophthalmology Physician |
Interoperability endpoints
- aghnatious.hanna@uprisedirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1366954091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 PROSPECT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076012625",
"telephone_number": "201-923-0454",
"fax_number": "973-827-6636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 PROSPECT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076012625",
"telephone_number": "201-923-0454",
"fax_number": "973-827-6636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "AGHNATIOUS A HANNA",
"middle_name": "AWADALLA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-03",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "426745",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ECFMG",
"identifier": "0-426-745-6",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.