Individual provider Active NPI

Sandra Hanna

  • Audiologist
  • South River, NJ
National Provider Identifier
1578042628
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
41YA00100700 Issued in NJ
Practice address
24 Capitol CT
South River, NJ 08882-2715
Phone
(908) 227-3609
NPI assigned
Aug 9, 2018
Last updated
Aug 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 41YA00100700 NJ Primary

Addresses

Primary practice location

24 Capitol CT
South River, NJ 08882-2715

Mailing address

24 Capitol CT
South River, NJ 08882-2715
Phone (908) 227-3609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181030000183 NJ Practitioner - Qualified Audiologist 5890048409 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41YA00100700NJMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Peter's University Hospital CurrentSince May 7, 2022 Accepting new patients
Saint Peter's University Hospital CurrentSince May 7, 2022 Accepting new patients
Saint Peter's Specialty Physicians, P.C. Audiologist CurrentSince May 7, 2022 Accepting new patients
Audslp Diagnostic and Rehabilitation Clinic Audiologist PastSince Jun 12, 2022 Accepting new patients

Locations

500 River Ave
Ste 110
Lakewood, NJ 08701
Phone (732) 339-7360

123 How Ln
New Brunswick, NJ 08901
Phone (732) 448-1000

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

562 Easton Ave
Ste 2
Somerset, NJ 08873

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1578042628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CAPITOL CT",
            "city": "SOUTH RIVER",
            "state": "NJ",
            "postal_code": "088822715",
            "telephone_number": "908-227-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CAPITOL CT",
            "city": "SOUTH RIVER",
            "state": "NJ",
            "postal_code": "088822715",
            "telephone_number": "908-227-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "SANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00100700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.