Individual provider Active NPI

Timur Hanan, MD

  • Physical Medicine & Rehabilitation Physician
  • Bronx, NY
National Provider Identifier
1932133477
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
238025 Issued in NY
Practice address
234 149TH St
Lincoln Medical and Mental Health Center,
Bronx, NY 10451
Phone
(718) 252-9100
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 238025 NY Primary

Addresses

Primary practice location

234 149TH St
Lincoln Medical and Mental Health Center,
Bronx, NY 10451

Mailing address

4 Cambridge Rd
Great Neck, NY 11023-2218
Phone (917) 538-7216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20061109000120 NY Practitioner - Physical Medicine and Rehabilitation 6901803774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3226 Kings Hwy
Brooklyn, NY 11234-2617
Phone (718) 252-9100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
238025NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Healthcare Medical PC CurrentSince Mar 9, 2007 Accepting new patients
Lincon Medical and Mental Center Past Accepting new patients
Downtown Bronx Medical Associates PC Past Accepting new patients
Continental Medical Group PastSince Apr 7, 2010 Accepting new patients
All Neurological Services PC PastSince Nov 3, 1995 Accepting new patients
SK Neurology PC PastSince Nov 17, 2019 Accepting new patients

Locations

3226 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-9100

Interoperability endpoints

  • Direct secure messaging: thanan839166@nychhc.direct-ci.com

Organizations & group practices 6

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1932133477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CAMBRIDGE RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232218",
            "telephone_number": "917-538-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 149TH ST",
            "address_2": "LINCOLN MEDICAL AND MENTAL HEALTH CENTER,",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10451",
            "telephone_number": "718-252-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANAN",
        "first_name": "TIMUR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "238025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.