Organization Active NPI

Fouad Hanna,MD

  • Specialist
  • Ridgewood, NJ
National Provider Identifier
1396929956
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FOUAD HANNA,MD
Practice address
51 Chestnut St
Ridgewood, NJ 07450-3873
Phone
(201) 670-9215
Fax
(973) 670-9280
NPI assigned
Dec 19, 2007
Last updated
Dec 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Fouad Hanna, MD
Title
Owner
Phone
(201) 670-9215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NJ Primary

Addresses

Primary practice location

51 Chestnut St
Ridgewood, NJ 07450-3873

Mailing address

51 Chestnut Street
Ridgewood, NJ 07450
Phone (201) 670-9215

Other identifiers 1

IdentifierTypeStateIssuer
8206104MedicaidNJ

National Provider Directory

National Provider Directory

Locations

51 Chestnut St
Ridgewood, NJ 07450
Phone (201) 444-8588

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1396929956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 CHESTNUT STREET",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-670-9215",
            "fax_number": "973-670-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 CHESTNUT ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503873",
            "telephone_number": "201-670-9215",
            "fax_number": "973-670-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUAD HANNA,MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "FOUAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-670-9215",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8206104",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.