Hanaa'S Legacy, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

HANAA'S LEGACY, LLC

Practice address

187 Chestnut St
Nutley, NJ 07110-4320

Phone

(973) 320-9320

Fax

(973) 587-8766

NPI assigned

Dec 15, 2020

Organization subpart

No

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

Authorized official

Name

Mariam HabibNPI 1851706485

Title

Owner

Phone

(407) 937-9344

Specialties & licenses 1

Addresses

Other names 1

• Sunshine Smiles of Nutley Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mariam Habib, D.D.S.

  • Dentist
  • Nutley, NJ
  • NPI 1851706485
  NPD Authorized official

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1669068466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 CHESTNUT ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071104320",
            "telephone_number": "973-320-9320",
            "fax_number": "973-587-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 CHESTNUT ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071104320",
            "telephone_number": "973-320-9320",
            "fax_number": "973-587-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANAA'S LEGACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "HABIB",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-937-9344"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine Smiles of Nutley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Groman, LCSW
• Moshe A Groman
• Amy Groome
• Mariam Habib, D.D.S.
• Hala Aboulhosn
• Hari Om Sharma, MD, PC
• John M Hayes, BCBA
• Healthy Kids Pediatrics, LLC
• George H Heflich, D.M.D.
• Helping Hands Aide Services LLC

• Dentist in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.