Individual provider Active NPI

Niveen Hanna, M.D.

  • Trauma Surgery Physician
  • Trenton, NJ
National Provider Identifier
1780668889
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
MA72230 Issued in NJ
Practice address
832 Brunswick Ave
Trenton, NJ 08638-3847
Phone
(609) 396-2600
Fax
(609) 396-3600
NPI assigned
Dec 1, 2005
Last updated
Apr 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MA72230 NJ
Surgical Critical Care Physician 2086S0102X MA72230 NJ
Trauma Surgery Physician 2086S0127X MA72230 NJ Primary

Addresses

Primary practice location

832 Brunswick Ave
Trenton, NJ 08638-3847

Mailing address

832 Brunswick Ave
Trenton, NJ 08638-3847
Phone (609) 396-2600

Other practice location 1

40 Fuld St Ste 403
Trenton, NJ 08638
Phone (609) 396-2600

Other identifiers 1

IdentifierTypeStateIssuer
8823405MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address niveen.hanna.1@12833.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051019000772 NJ Practitioner - General SurgeryPractitioner - General Practice 2062462484 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Health Multispecialty GroupGroup PAC ID 1850689894, 342 clinicians

Practice addresses (Care Compare)

1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4000

750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA72230NJMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Multispecialty Group Surgery CurrentSince Sep 13, 2016 Accepting new patients
Capital Health Medical Group Surgery CurrentSince Sep 13, 2016 Accepting new patients
Capital Health System Inc Past Accepting new patients
Downtown Bronx Medical Associates PC Past Accepting new patients
Lincon Medical and Mental Center Past Accepting new patients

Locations

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

40 Fuld St
Ste 403
Trenton, NJ 08638
Phone (609) 396-2600

750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000

832 Brunswick Ave
Trenton, NJ 08638
Phone (609) 396-2600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
  • Direct secure messaging: niveen.hanna.1@12833.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1780668889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 BRUNSWICK AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086383847",
            "telephone_number": "609-396-2600",
            "fax_number": "609-396-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 BRUNSWICK AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086383847",
            "telephone_number": "609-396-2600",
            "fax_number": "609-396-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Fuld St Ste 403",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "08638",
            "country_code": "US",
            "telephone_number": "609-396-2600",
            "fax_number": "609-396-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNA",
        "first_name": "NIVEEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA72230",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NJ",
            "license": "MA72230",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NJ",
            "license": "MA72230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8823405",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "niveen.hanna.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "832 Brunswick Ave",
            "city": "Trenton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086383847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.