Individual provider Active NPI

Tara Hanau, NP-C

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1780465377
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
353146 Issued in NY
Practice address
7 7TH Ave FL 2
New York, NY 10011-6628
Phone
(212) 889-8575
NPI assigned
Oct 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN1056334 DC
Family Nurse Practitioner 363LF0000X 353146 NY Primary

Addresses

Primary practice location

7 7TH Ave FL 2
New York, NY 10011-6628

Mailing address

7 Stoneview LN
Sharon, MA 02067-2300
Phone (781) 915-4070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241111001567 NY Practitioner - Nurse Practitioner 0840724019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lenox Hill Hospital Medical PCGroup PAC ID 7012188568, 32 clinicians

Practice addresses (Care Compare)

36 E 36TH St
Suite 200a
New York, NY 10016-3441
Phone (212) 889-1534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN1056334DCMDRegistered Nurse
353146NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lenox Hill Hospital Medical, PC CurrentSince Aug 26, 2024 Accepting new patients

Locations

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

7 7th Ave
Fl 2
New York, NY 10011
Phone (212) 889-8575

36 E 36th St
Ste 200A
New York, NY 10016
Phone (212) 889-1534

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: tarahanau@nslijmedgr.allscriptsdirect.net
  • Direct secure messaging: thanau61136@northwell.direct-ci.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1780465377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 STONEVIEW LN",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020672300",
            "telephone_number": "781-915-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 7TH AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116628",
            "telephone_number": "212-889-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANAU",
        "first_name": "TARA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1056334",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "353146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.