Individual provider Active NPI

Angela M Hanna, M.D.

  • Pediatric Surgery Physician
  • Staten Island, NY
National Provider Identifier
1841279866
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
252581 Issued in NY
Practice address
378 Seaview Ave
Staten Island, NY 10305-2200
Phone
(718) 226-4980
Fax
(718) 226-1334
NPI assigned
Jan 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101269229 VA
Surgical Critical Care Physician 2086S0102X 0101269229 VA
Pediatric Surgery Physician 2086S0120X 94149 SC
Pediatric Surgery Physician 2086S0120X 0101269229 VA
Pediatric Surgery Physician 2086S0120X 252581 NY Primary

Addresses

Primary practice location

378 Seaview Ave
Staten Island, NY 10305-2200

Mailing address

378 Seaview Ave
Staten Island, NY 10305-2200
Phone (718) 226-4980

Other practice location 1

1250 E Marshall St
Richmond, VA 23298-5023
Phone (804) 628-6580

Other practice location 2

1000 E Broad St
Richmond, VA 23219-1930
Phone (804) 858-3500

Other practice location 3

9 Richland Medical Park Dr Ste 500
Columbia, SC 29203-6870
Phone (803) 344-4555

Other identifiers 2

IdentifierTypeStateIssuer
899618100MedicaidMN
200442230AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA, SD, SC4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20200602000646 NY Practitioner - Pediatric MedicinePractitioner - General Surgery 3577525773 Reassigns benefits to 4 organizations
I20200831002247 VA Practitioner - General Surgery 3577525773 Reassigns benefits to 1 organization
I20201029002758 SD Practitioner - General Surgery 3577525773 Reassigns benefits to 1 organization
I20250415001504 SC Practitioner - Pediatric Medicine 3577525773 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Sep 21, 2020 Accepting new patients
New York University CurrentSince Jul 1, 2020 Accepting new patients
Prisma Health Medical Group-Midlands Surgery CurrentSince Apr 25, 2025 Accepting new patients
Avera McKennan Current Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Surgery Current Accepting new patients
Avera McKennan CurrentSince Sep 21, 2020 Accepting new patients
New York University Surgery CurrentSince Jul 1, 2020 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Apr 25, 2025 Accepting new patients
North Shore - Lij Medical PC CurrentSince Aug 16, 2024 Accepting new patients
North Shore-Lij Medical PC CurrentSince Aug 16, 2024 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jun 10, 2020 Accepting new patients
MCV Associated Physicians CurrentSince Aug 18, 2025 Accepting new patients
Staten Island University Hospital Past Accepting new patients
Mayo Clinic Past Accepting new patients
Mayo Clinic Past Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

222 Station Rd
Ste 310
Mineola, NY 11501
Phone (516) 663-2051

26901 76th Ave
New Hyde Park, NY 11040
Phone (718) 470-3000

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

300 Community Dr
Plandome, NY 11030

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

378 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-1850

900 South Ave
Ste 103
Staten Island, NY 10314
Phone (718) 226-2950

378 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-1850

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

9 Richland Medical Park Dr
Ste 500
Columbia, SC 29203
Phone (803) 344-4555

9 Richland Medical Park Dr
Ste 505
Columbia, SC 29203
Phone (803) 434-2505

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

1000 E Broad St
Richmond, VA 23219

Networks

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

Interoperability endpoints

  • Direct secure messaging: ahanna67701@northwell.direct-ci.com
  • Direct secure messaging: ahanna841365@direct.ghs.myhfn.org
  • Direct secure messaging: ahanna1041830@wm.providencedirect.org
  • Direct secure messaging: angela.hanna@hca3.eclinicaldirectplus.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1841279866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052200",
            "telephone_number": "718-226-4980",
            "fax_number": "718-226-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052200",
            "telephone_number": "718-226-4980",
            "fax_number": "718-226-1334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985023",
            "country_code": "US",
            "telephone_number": "804-628-6580",
            "fax_number": "804-628-4501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232191930",
            "country_code": "US",
            "telephone_number": "804-858-3500",
            "fax_number": "804-628-4501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Richland Medical Park Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036870",
            "country_code": "US",
            "telephone_number": "803-344-4555",
            "fax_number": "803-434-4599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNA",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101269229",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "VA",
            "license": "0101269229",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "SC",
            "license": "94149",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "VA",
            "license": "0101269229",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NY",
            "license": "252581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899618100",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200442230A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.