Individual provider Active NPI

Scott Brian Hanauer, DPM

  • Foot & Ankle Surgery Podiatrist
  • Englewood, NJ
National Provider Identifier
1922599554
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00361800 Issued in NJ
Practice address
142 Engle St
Englewood, NJ 07631-2547
Phone
(201) 568-0033
NPI assigned
May 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00361800 NJ Primary

Addresses

Primary practice location

142 Engle St
Englewood, NJ 07631-2547

Mailing address

142 Engle St
Englewood, NJ 07631-2547
Phone (201) 568-0033

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210714000627 NJ Practitioner - Podiatry 5294137204 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden State Pain Control Center PAGroup PAC ID 4385624485, 10 clinicians

Practice addresses (Care Compare)

1117 Route 46 E
Suite 301
Clifton, NJ 07013-2450
Phone (973) 777-5444

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC CurrentSince Jul 27, 2021 Accepting new patients
Garden State Pain Control Center P.a. CurrentSince Jun 1, 2022 Accepting new patients

Locations

1117 US Highway 46
Ste 301
Clifton, NJ 07013
Phone (973) 777-5444

1117 US Highway 46
Ste 201
Clifton, NJ 07013
Phone (973) 365-2208

25 Main St
Ste 12
Edison, NJ 08837
Phone (732) 376-0330

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

631 Grand St
Ste 2100
Jersey City, NJ 07304
Phone (201) 706-2033

30 Montgomery St
Ste 720
Jersey City, NJ 07302
Phone (212) 524-7730

222 Cedar Ln
Ste 300
Teaneck, NJ 07666
Phone (201) 530-1488

443 Northfield Ave
Ste 302
West Orange, NJ 07052
Phone (973) 777-5444

Organizations & group practices 2

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": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1922599554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312547",
            "telephone_number": "201-568-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312547",
            "telephone_number": "201-568-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANAUER",
        "first_name": "SCOTT",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-18",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00361800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.