Individual provider Active NPI

Amira H Hana, PTA

  • Physical Therapy Assistant
  • Cliffside Park, NJ
National Provider Identifier
1427611706
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
40QB00355600 Issued in NJ
Practice address
596 Anderson Ave Ste 104
Cliffside Park, NJ 07010-1888
Phone
(201) 941-8008
Fax
(204) 941-3880
NPI assigned
Apr 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 40QB00355600 NJ Primary

Addresses

Primary practice location

596 Anderson Ave Ste 104
Cliffside Park, NJ 07010-1888

Mailing address

420 Lynn CT Apt 2
Linden, NJ 07036-4322
Phone (732) 910-3202

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

State licenses

LicenseStateTypeSpecialty
40QB00355600NJMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1427611706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 LYNN CT APT 2",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364322",
            "telephone_number": "732-910-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 ANDERSON AVE STE 104",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101888",
            "telephone_number": "201-941-8008",
            "fax_number": "204-941-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANA",
        "first_name": "AMIRA",
        "middle_name": "H",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00355600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cliffside Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.