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

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: October 18, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

6

Medicare enrollment records show Mamdouh Hanna reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Garden State Healthcare Associates, LLC
Same address
Emergency Medicine
29 E 29TH ST
Bayonne, NJ 07002
  • Reassigned Medicare billing, New Jersey enrollment
  • 637 clinicians in this Medicare group
NPI 1700014545 (844) 242-7436
Bayonne Pain Management Center, LLC
0.1 mi
Interventional Pain Medicine
631 BROADWAY
Bayonne, NJ 07002
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1437633492 (201) 471-7246
Hudson Pain Managment Center, LLC
0.7 mi
Pain Medicine
183 AVENUE B
Bayonne, NJ 07002
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1770781262 (201) 339-7246
Canj Anesthesia LLC
8.7 mi
Anesthesiology
55 MEADOWLANDS PKWY
Secaucus, NJ 07094
  • Reassigned Medicare billing, New Jersey enrollment
  • 131 clinicians in this Medicare group
NPI 1881353662 (718) 550-8600
Centurion Anesthesia Surgical Centers LLC
20 mi
Anesthesiology
811 WILSON ST
Valley Stream, NY 11581
  • Reassigned Medicare billing, New Jersey enrollment
  • 124 clinicians in this Medicare group
NPI 1326707100 (718) 550-8600
Specialty Surgical Center, LLC
39 mi
Anesthesiology
380 LAFAYETTE RD, SUITE 110
Sparta, NJ 07871
  • Reassigned Medicare billing, New Jersey enrollment
  • 11 clinicians in this Medicare group
NPI 1821398199 (973) 940-3166

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

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)
29 E 29TH ST
BAYONNE, NJ 07002
Hudson County (732) 390-7750
MOHAMMED ABDUL ALEEM SIDDIQUI
Student in an Organized Health Care Education/Training Program
29 E 29TH ST
BAYONNE, NJ 07002
Hudson County (201) 858-5000
ELI WERCBERGER DO
Internal Medicine
29 E 29TH ST
BAYONNE, NJ 07002
Hudson County (212) 734-6621
ERASTUS KAMUNGE THUO
Student in an Organized Health Care Education/Training Program
29 E 29TH ST
BAYONNE, NJ 07002
Hudson County (201) 858-5000
TIFFANY BATTAGLIOLA M.D.
Student in an Organized Health Care Education/Training Program
29 E 29TH ST
BAYONNE, NJ 07002
Hudson County (201) 858-6596
CAREPOINT HEALTH PHARMACY BAYONNE LLC
Pharmacy (Community/Retail Pharmacy)
29 E 29TH ST
BAYONNE, NJ 07002
Hudson County (201) 858-5215
GEORGE KOUTRAS
Student in an Organized Health Care Education/Training Program
29 E 29TH ST
BAYONNE, NJ 07002
Hudson County (201) 858-6594
VIKASH REDDY CHADIVE
Student in an Organized Health Care Education/Training Program
29 E 29TH ST
BAYONNE, NJ 07002
Hudson County (201) 858-6594

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Mamdouh Hanna located?

Mamdouh Hanna practices at 29 E 29th St, Bayonne, NJ 07002. The listed phone number is (201) 858-5000.

What is Mamdouh Hanna's specialty?

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

Is Mamdouh Hanna enrolled in Medicare?

Yes. Mamdouh Hanna is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mamdouh Hanna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mamdouh Hanna reassigns Medicare benefits to 6 organizations: Garden State Healthcare Associates, LLC (Bayonne, NJ), Bayonne Pain Management Center, LLC (Bayonne, NJ), Hudson Pain Managment Center, LLC (Bayonne, NJ), Canj Anesthesia LLC (Secaucus, NJ), Centurion Anesthesia Surgical Centers LLC (Valley Stream, NY) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mamdouh Hanna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mamdouh Hanna affiliated with any hospitals?

According to CMS data, Mamdouh Hanna is affiliated with Hudson Regional Hospital.

When was this NPI record last updated?

The NPPES record for Mamdouh Hanna was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.