Madouna Gamal Hanna, D.O.
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Paramus, NJ
NPI 1740546266 · NPPES record last updated Oct 1, 2018
Key facts
- NPI
- 1740546266
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 25MB09675100 (NJ)
- Practice address
- 230 E Ridgewood Ave
Paramus, NJ 07652 - Phone
- (201) 967-4000
- Fax
- (201) 967-4117
- NPI assigned
- Apr 10, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- One Bergen Health PC
Bergen County Improvement Authority
Practice addresses (Care Compare)
230 E Ridgewood Ave
Paramus, NJ 07652-4142
375 Paterson Ave
Wallington, NJ 07057-2100
Phone (551) 276-5864
Hospital & facility affiliations
- Bergen New Bridge Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171127000316 | NJ | Practitioner - Physical Medicine and Rehabilitation | 0941567143 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB09675100 | NJ | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bergen County Improvement Authority | Current |
Accepting new patients | |
| One Bergen Health PC | Current |
Accepting new patients | |
| University Physician Associates of New Jersey Inc | Physical Medicine & Rehabilitation | Current |
Accepting new patients |
| Hunterdon Orthopedic Institute PA | Current |
Accepting new patients | |
| Bergen County Improvement Authority | Current |
Accepting new patients | |
| University Physician Associates of New Jersey Inc | Current |
Accepting new patients | |
| Bergen County Improvement Authority | Past | Accepting new patients |
Locations
8100 Wescott Dr
Flemington, NJ 08822
Phone (908) 782-0600
8100 Wescott Dr
Ste 101
Flemington, NJ 08822
Phone (908) 782-0600
30 Bergen St
Bldg 12
Newark, NJ 07107
Phone (973) 972-0037
30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037
230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700
680 Broadway
Ste 506
Paterson, NJ 07514
Phone (973) 500-2399
375 Paterson Ave
Wallington, NJ 07057
Phone (551) 276-5864
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 25MB09675100 | NJ | Yes |
Addresses
Primary practice location
230 E Ridgewood Ave
Paramus, NJ 07652
Mailing address
30 Bergen St RM 1205
Newark, NJ 07107-3000
Phone (972) 972-0037
Other practice location 1
8100 Wescott Dr
Flemington, NJ 08822-4671
Phone (908) 782-0600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0638234 | Medicaid | NJ |
Other providers in Paramus, NJ
- Hand & Wrist Surgery of NJ, LLC
- Tawnia Marie Hanel
- Hanger Prosthetics & Orthotics East, Inc.
- Kayla Anne Hanley
- David Hanna
- Mina Hanna
- Susan Hannawi
- Christopher Hannon
- Tracy Allison Hans
- Nasean S Hansford
All providers in Paramus, NJ · Physical Medicine & Rehabilitation Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.