Marcella Hanon, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02758300 Issued in NJ

Practice address

23 Old Short Hills Rd
West Orange, NJ 07052-1020

Phone

(973) 736-4432

NPI assigned

Apr 4, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Marcella Berman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1639631906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WESTGATE RD APT E",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076665044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 OLD SHORT HILLS RD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521020",
            "telephone_number": "973-736-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANON",
        "first_name": "MARCELLA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02758300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCELLA",
            "last_name": "BERMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Renee Hampton
• Magda Hamza
• Joshua Seth Hanau, MD
• Handsome Physical Therapy Works LLC
• Hanger Prosthetics & Orthotics East, Inc. (Hanger Clinic)
• Edward Harback, MD
• Lisa Harootunian
• Oneka Harriott, RN
• Tiona D Harris
• Mariah Christina Haskell, DPT

• General Practice Dentistry in West Orange, NJ
• Providers in West Orange, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.