Active NPI
Michael Hanan, MD
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1780648071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 233117
- Practice address
- 2401 Avenue X
1St Floor. Michael Hanan Medical P.C.
Brooklyn, NY 11235-2516 - Phone
- (718) 975-0701
- Fax
- (718) 975-0703
- NPI assigned
- Apr 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 233117 | NY | Primary |
Addresses
Primary practice location
2401 Avenue X
1St Floor. Michael Hanan Medical P.C.
Brooklyn, NY 11235-2516
Mailing address
10325 68TH Ave
Apt 3-0
Forest Hills, NY 11375-3267
Phone (718) 975-0701
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Brooklyn Medical Group PC | Pediatrics | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
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": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392854400000",
"number": "1780648071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10325 68TH AVE",
"address_2": "APT 3-0",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113753267",
"telephone_number": "718-975-0701",
"fax_number": "718-975-0703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 AVENUE X",
"address_2": "1ST FLOOR. MICHAEL HANAN MEDICAL P.C.",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112352516",
"telephone_number": "718-975-0701",
"fax_number": "718-975-0703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANAN",
"first_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2014-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "233117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.