Amany Abu Hanoud, M.D
Individual provider Active NPI Infectious Disease Physician · Newark, NJ
NPI 1962885574 · NPPES record last updated Feb 22, 2022
Key facts
- NPI
- 1962885574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- License
- 25MA10906400 (NJ)
- Practice address
- 150 Bergen St
Newark, NJ 07103-2496 - Phone
- (973) 972-4300
- NPI assigned
- Jun 30, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230427001236 | NJ | Practitioner - Internal Medicine |
8022473974 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10906400 | NJ | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Passaic Hospitalist Services, LLC | Current |
Accepting new patients |
Locations
703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 25MA10906400 | NJ | Yes |
Addresses
Primary practice location
150 Bergen St
Newark, NJ 07103-2496
Mailing address
150 Bergen St
Newark, NJ 07103-2496
Phone (973) 972-4300
Other providers in Newark, NJ
- Daniela Yakobashvili Abramove
- Arevik Abramyan
- Saul Abreu
- Anna Abrimian
- Mohammad Abu Ghareibeh
- Yazeed Fawwaz Abu Ruman
- Ahmed Abu Taleb
- Nancy Leroux Abud
- Abundant Hope Developmental Supports NJ LLC
- Mohammad Abushanab
All providers in Newark, NJ · Infectious Disease Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.