Individual provider Active NPI

David Wayne Hansen, M.D.

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1851367056
Registry record updated Feb 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA07799100 Issued in NJ
Practice address
40 Oceana Dr W Apt 4C
Brooklyn, NY 11235-6667
Phone
(201) 953-3840
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA07799100 NJ Primary

Addresses

Primary practice location

40 Oceana Dr W Apt 4C
Brooklyn, NY 11235-6667

Mailing address

40 Oceana Dr W Apt 4C
Brooklyn, NY 11235-6667
Phone (201) 953-3840

Other identifiers 3

IdentifierTypeStateIssuer
0107549MedicaidNJ
02686602MedicaidNY
P00717397OtherNJRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 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
I20080717000003 NJ Practitioner - Anesthesiology 4082787510 Reassigns benefits to 3 organizations
I20171219000845 NY Practitioner - Anesthesiology 4082787510 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sedation Vacation Perioperative Medicine PLLCGroup PAC ID 1759658594, 86 clinicians
Randn Anesthesia PLLCGroup PAC ID 2062737794, 32 clinicians

Practice addresses (Care Compare)

10512 101St Ave
Ozone Park, NY 11416-2703
Phone (718) 847-3700

175 Remsen St
Brooklyn, NY 11201-4333
Phone (718) 222-5999

944 N Broadway
Yonkers, NY 10701-1304
Phone (718) 222-5999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07799100NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Consultants of North Jersey PC CurrentSince Mar 30, 2013 Accepting new patients
Lakes Anesthesia Anesthesiology CurrentSince Oct 17, 2017 Accepting new patients
Glacier Cryo Medical P.C Anesthesiology CurrentSince Aug 12, 2021 Accepting new patients
James Marc Schlesinger MD PC Anesthesiology CurrentSince Aug 24, 2015 Accepting new patients
R&N Anesthesia PLLC Anesthesiology CurrentSince Aug 12, 2021 Accepting new patients
Pain Management Institute PA Anesthesiology CurrentSince Jul 8, 2013 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Mar 3, 2021 Accepting new patients
Morris Anesthesia Group, PA Past Accepting new patients

Locations

619 River Dr
Elmwood Park, NJ 07407
Phone (201) 703-2900

24-07 Broadway
#A
Fair Lawn, NJ 07410
Phone (201) 791-7760

18 Mule Rd
Toms River, NJ 08755
Phone (201) 703-2900

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

2829 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 676-4112

11120 Queens Blvd
Forest Hills, NY 11375
Phone (718) 263-2208

711 Troy Schenectady Rd
Latham, NY 12110
Phone (518) 783-0710

55 Old Turnpike Rd
Ste 605
Nanuet, NY 10954
Phone (845) 623-4069

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

10715 Jamaica Ave
Richmond Hill, NY 11418
Phone (646) 725-4360

944 N Broadway
Yonkers, NY 10701
Phone (914) 965-1234

Organizations & group practices 8

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708128000000",
    "number": "1851367056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 OCEANA DR W APT 4C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356667",
            "telephone_number": "201-953-3840",
            "fax_number": "201-337-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 OCEANA DR W APT 4C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356667",
            "telephone_number": "201-953-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2024-02-17",
        "certification_date": "2024-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA07799100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0107549",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02686602",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00717397",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.