Active NPI
Hanjani PC
- Obstetrics & Gynecology Physician
- Brockton, MA
National Provider Identifier
1558427070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 77682
- Legal business name
- HANJANI PC
- Practice address
- 830 Oak St
Ste 201W
Brockton, MA 02301-1168 - Phone
- (781) 585-9522
- Fax
- (781) 585-9544
- NPI assigned
- Dec 29, 2006
- Last updated
- Jan 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Soheil Hanjani, MD
- Title
- President
- Phone
- (781) 585-9522
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 77682 | MA | Primary |
Addresses
Primary practice location
830 Oak St
Ste 201W
Brockton, MA 02301-1168
Mailing address
830 Oak St
Ste 201W
Brockton, MA 02301-1168
Phone (781) 585-9522
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 077682 | Other | MA | TUFTS |
| M21277 | Other | MA | MEDICARE GROUP NUMBER |
| M18214 | Other | MA | BC/BS OF MA GROUP # |
| 130077 | Other | MA | HARVARD PILGRIM HEALTHCAR |
| 9724010 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D1015826 | Hanjani PC | Provider-performed microscopy | Aug 22, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Brockton, MA
- NPI 1598723512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201564800000",
"number": "1558427070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 OAK ST",
"address_2": "STE 201W",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011168",
"telephone_number": "781-585-9522",
"fax_number": "781-585-9544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 OAK ST",
"address_2": "STE 201W",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011168",
"telephone_number": "781-585-9522",
"fax_number": "781-585-9544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANJANI PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-29",
"last_updated": "2008-01-29",
"status": "A",
"authorized_official_last_name": "HANJANI",
"authorized_official_first_name": "SOHEIL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "781-585-9522",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "77682",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "077682",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "M21277",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MA GROUP #",
"identifier": "M18214",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "130077",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9724010",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.