Individual provider Active NPI

Andrew George Hanna, DMD

  • General Practice Dentistry
  • Kearny, NJ
National Provider Identifier
1689353740
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02973100 Issued in NJ
Practice address
65 Kearny Ave
Kearny, NJ 07032-4537
Phone
(201) 997-7201
NPI assigned
Jul 17, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02973100 NJ Primary

Addresses

Primary practice location

65 Kearny Ave
Kearny, NJ 07032-4537

Mailing address

65 Kearny Ave
Kearny, NJ 07032-4537
Phone (201) 997-7201

Other practice location 1

115 Orient Way
Rutherford, NJ 07070-2149
Phone (201) 438-3330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02973100NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1689353740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070324537",
            "telephone_number": "201-997-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070324537",
            "telephone_number": "201-997-7201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Orient Way",
            "address_purpose": "LOCATION",
            "city": "Rutherford",
            "state": "NJ",
            "postal_code": "070702149",
            "country_code": "US",
            "telephone_number": "201-438-3330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNA",
        "first_name": "ANDREW",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02973100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearny, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.