Individual provider Active NPI

Jimmy Hanna, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Newark, NJ
National Provider Identifier
1740635986
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
25MA10871300 Issued in NJ
Practice address
635 Market St
Newark, NJ 07105-3618
Phone
(973) 344-5454
Fax
(973) 344-5488
NPI assigned
Apr 25, 2016
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 25MA10871300 NJ Primary

Addresses

Primary practice location

635 Market St
Newark, NJ 07105-3618

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885

Other practice location 1

680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7299

Other practice location 2

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-8515

Other practice location 3

157 Union St
Marlborough, MA 01752-1228
Phone (508) 486-5678

Other practice location 4

119 Belmont St
Worcester, MA 01605-2903
Phone (508) 334-8515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191217003002 MA Practitioner - Family Practice 3072947472 Reassigns benefits to 5 organizations
I20200803000172 NJ Practitioner - Sleep Medicine 3072947472 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians
Marlborough Hospitalist Group PLLCGroup PAC ID 1254793888, 27 clinicians

Practice addresses (Care Compare)

119 Belmont St
Worcester, MA 01605-2903
Phone (508) 334-1000

14 Prospect St
Milford, MA 01757-3003
Phone (508) 422-2305

157 Union St
Marlborough, MA 01752-1228
Phone (508) 481-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Cardiovascular Specialists P.C CurrentSince Jul 1, 2020 Accepting new patients
Sound Physicians of Massachusetts, Inc CurrentSince Jan 1, 2023 Accepting new patients
Milford Regional Physician Group, Inc. CurrentSince Feb 12, 2022 Accepting new patients
Marlborough Hospitalist Group, PLLC CurrentSince Nov 1, 2023 Accepting new patients
Hudson MD Group CurrentSince Oct 22, 2023 Accepting new patients
Milford Regional Physician Group, Inc. CurrentSince Feb 12, 2022 Accepting new patients
Bond Medical Consultants, PC CurrentSince Oct 21, 2019 Accepting new patients
Sound Physicians of Massachusetts Inc CurrentSince Jan 1, 2023 Accepting new patients
Umass Memorial Medical Group Inc CurrentSince Jun 29, 2023 Accepting new patients
Milford Regional Physician Group, Inc. Sleep Medicine Current Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Jun 29, 2023 Accepting new patients
NJ Urgentcare Past Accepting new patients
Umass Memorial Medical Center, Inc. Past Accepting new patients
David W. Lee MD PA PastSince Feb 6, 2007 Accepting new patients

Locations

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

1234 Hyde Park Ave
Hyde Park, MA 02136
Phone (617) 364-2420

157 Union St
Marlborough, MA 01752
Phone (508) 481-5000

100 Medway Rd
Ste 401
Milford, MA 01757
Phone (508) 634-7338

14 Prospect St
Milford, MA 01757
Phone (508) 422-2343

308 Main St
Milford, MA 01757
Phone (508) 478-0555

119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

1625 Anderson Ave
Ste 204
Fort Lee, NJ 07024
Phone (201) 224-0011

520 N Wood Ave
Linden, NJ 07036
Phone (908) 587-1330

635 Market St
Newark, NJ 07105
Phone (201) 952-6520

9 Hospital Dr
Ste A22
Toms River, NJ 08755
Phone (973) 429-1300

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1740635986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "800-225-8885",
            "fax_number": "508-334-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 MARKET ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053618",
            "telephone_number": "973-344-5454",
            "fax_number": "973-344-5488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 Centre St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023023308",
            "country_code": "US",
            "telephone_number": "508-941-7299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Lake Ave N",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016550002",
            "country_code": "US",
            "telephone_number": "508-334-8515",
            "fax_number": "508-334-6490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "157 Union St",
            "address_purpose": "LOCATION",
            "city": "Marlborough",
            "state": "MA",
            "postal_code": "017521228",
            "country_code": "US",
            "telephone_number": "508-486-5678",
            "fax_number": "508-486-5677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Belmont St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016052903",
            "country_code": "US",
            "telephone_number": "508-334-8515",
            "fax_number": "508-334-6490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNA",
        "first_name": "JIMMY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-25",
        "last_updated": "2025-09-11",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NJ",
            "license": "25MA10871300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.