MAMDOUH S HANNA M.D.
NPI 1073517462
Specialist in Bayonne, NJ

Q: What is Mamdouh Hanna's NPI number?

The NPI number for Mamdouh Hanna is 1073517462. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Q: What is Mamdouh Hanna's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Mamdouh Hanna was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 13, 2005PECOS Enrolled

29 E 29TH ST, BAYONNE, NJ 07002(201) 858-5000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mamdouh S Hanna M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAMDOUH S HANNA M.D. (NPI 1073517462) is an individual specialist in Bayonne, New Jersey, licensed in New Jersey (25MA07574700) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Hudson Regional Hospital, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1073517462

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameMAMDOUH S HANNACredential: M.D.

Location Address29 E 29TH STBayonne, NJ 07002-4654

Mailing AddressPo Box 464Rutherford, NJ 07070-0464 · (201) 804-2800

Phone(201) 858-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateJune 13, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1073517462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NJ · 25MA07574700

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

29 E 29TH ST, Bayonne, NJ 07002

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Other Identifiers 3

Medicare UPINI06992

Medicaid0039934NJ

Medicare ID-Type Unspecified079444NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mamdouh S Hanna M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335126648

PECOS Enrollment IDI20040706000332

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

619 services28 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

120 services12 patients

Anesthesia for nerve block and injection procedure, prone position 01992

Anesthesia for nerve block and injection is a procedure to numb specific areas, reducing pain. You'll be positioned face-down (prone) for optimal access to the treatment area. The anesthetic is injected near the nerve, blocking pain signals to the brain.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hudson Regional Hospital

Acute Care Hospitals · Secaucus, NJ

1/5 CMS rating

OwnershipProprietary

CMS Certification Number310118

Location55 Meadowlands PkwySecaucus, NJ 07094 · Hudson County

Emergency services

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TITAN HEALTH PARTNERS LLC

Radiology (Radiation Oncology)