Individual provider Active NPI

George M Hanna, M.D.

  • Interventional Pain Medicine Physician
  • Clifton, NJ
National Provider Identifier
1902033723
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
295204 Issued in NY
Practice address
1117 Route 46 Ste 205
Clifton, NJ 07013-2450
Phone
(973) 330-8876
NPI assigned
Jun 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 295204 NY Primary
Interventional Pain Medicine Physician 208VP0014X 25MA09857600 NJ

Addresses

Primary practice location

1117 Route 46 Ste 205
Clifton, NJ 07013-2450

Mailing address

290 Madison Ave Ste 203
New York, NY 10017-6308
Phone (212) 577-9247

Other practice location 1

290 Madison Ave Ste 203
New York, NY 10017-6308
Phone (212) 577-9247

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
I20160929000810 NJ Practitioner - Anesthesiology 1658547542 Reassigns benefits to 1 organization
I20181023001319 NY Practitioner - Pain ManagementPractitioner - Anesthesiology 1658547542 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Perelman School of Med at the University of Pennsylvania, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain Doctors of America PLLCGroup PAC ID 9830431006, 6 clinicians

Practice addresses (Care Compare)

1117 Route 46
Suite 205
Clifton, NJ 07013-2450
Phone (973) 826-2636

290 Madison Ave
New York, NY 10017-6308
Phone (973) 826-2636

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Services of Manhattan, PLLC CurrentSince Oct 1, 2018 Accepting new patients
Pain Doctors of America PLLC Interventional Pain Medicine CurrentSince Mar 2, 2019 Accepting new patients
Mni Medical Services, PLLC CurrentSince Jun 1, 2020 Accepting new patients
Shore Medical Treatment PLLC Past Accepting new patients
NJ Vein Medical LLC Past Accepting new patients

Locations

1455 Broad St
Ste 100
Bloomfield, NJ 07003
Phone (201) 402-2050

1117 US Highway 46
Ste 205
Clifton, NJ 07013
Phone (973) 471-0981

968 River Rd
Ste 200
Edgewater, NJ 07020
Phone (201) 224-0757

140 N Route 17
Ste 269
Paramus, NJ 07652
Phone (201) 564-7321

576 Valley Rd
Wayne, NJ 07470
Phone (646) 853-1120

445 Pleasant Valley Way
West Orange, NJ 07052
Phone (862) 520-4027

1167 McBride Ave
Ste 4
Woodland Park, NJ 07424
Phone (973) 333-4759

2100 Bartow Ave
Ste 400
Bronx, NY 10475
Phone (212) 518-4563

188 Montague St
Fl 10
Brooklyn, NY 11201
Phone (631) 450-3772

10730 71st Rd
#204
Forest Hills, NY 11375
Phone (631) 450-3772

280 N Central Ave
Ste 450
Hartsdale, NY 10530
Phone (212) 518-4562

350 Jericho Tpke
Ste 310
Jericho, NY 11753
Phone (212) 470-6676

350 Jericho Tpke
Ste 1A
Jericho, NY 11753
Phone (212) 518-4562

244 Madison Ave
#1120
New York, NY 10016
Phone (301) 523-8458

244 Madison Ave
#1100
New York, NY 10016

290 Madison Ave
Ste 203
New York, NY 10017
Phone (212) 577-9247

290 Madison Ave
New York, NY 10017
Phone (973) 826-2636

156 William St
Rm 302
New York, NY 10038
Phone (212) 518-4562

290 Madison Ave
Fl 2
New York, NY 10017
Phone (212) 518-4562

70 N Country Rd
Ste 201
Prt Jefferson, NY 11777
Phone (631) 331-0200

500 Montauk Hwy
Ste G
West Islip, NY 11795
Phone (212) 518-4562

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.

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1902033723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 MADISON AVE STE 203",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176308",
            "telephone_number": "212-577-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 ROUTE 46 STE 205",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132450",
            "telephone_number": "973-330-8876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 Madison Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100176308",
            "country_code": "US",
            "telephone_number": "212-577-9247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNA",
        "first_name": "GEORGE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "295204",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA09857600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.