Active NPI
Moneer K. Hanna M.D.
- Pediatric Urology Physician
- West Orange, NJ
National Provider Identifier
1669872685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- License
- MA054658
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Urology Physician | 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 DirectoryLocations
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.