Organization Active NPI

Moneer K. Hanna M.D.

  • Pediatric Urology Physician
  • West Orange, NJ
National Provider Identifier
1669872685
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
MA054658 Issued in NJ
Legal business name
MONEER K. HANNA M.D.
Practice address
101 Old Short Hills Road
Suite 203
West Orange, NJ 07052
Phone
(973) 325-7188
Fax
(973) 325-7409
NPI assigned
Aug 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Authorized official

Name
Dr. Jeffrey Allen Stock, M.D.
Title
Pediatric Urologist Medical Dr.
Phone
(973) 325-7188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2088P0231X MA054658 NJ Primary

Addresses

Primary practice location

101 Old Short Hills Road
Suite 203
West Orange, NJ 07052

Mailing address

101 Old Short Hills Road
Suite 203
West Orange, NJ 07052
Phone (973) 325-7188

National Provider Directory

National Provider Directory

Locations

101 Old Short Hills Rd
Ste 203
West Orange, NJ 07052
Phone (973) 325-7188

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1669872685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS ROAD",
            "address_2": "SUITE 203",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "07052",
            "telephone_number": "973-325-7188",
            "fax_number": "973-325-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS ROAD",
            "address_2": "SUITE 203",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "07052",
            "telephone_number": "973-325-7188",
            "fax_number": "973-325-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONEER K. HANNA M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "STOCK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PEDIATRIC UROLOGIST MEDICAL DR.",
        "authorized_official_telephone_number": "973-325-7188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology, Pediatric Urology",
            "state": "NJ",
            "license": "MA054658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.