Healthcare Provider Details

I. General information

NPI: 1508094228
Provider Name (Legal Business Name): HANA HEALTHCARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2009
Last Update Date: 04/12/2024
Certification Date: 04/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 ENGLE ST SUITE 205
ENGLEWOOD NJ
07631-2936
US

IV. Provider business mailing address

180 N DEAN ST STE 3N
ENGLEWOOD NJ
07631-2541
US

V. Phone/Fax

Practice location:
  • Phone: 201-569-0077
  • Fax: 201-569-0022
Mailing address:
  • Phone: 201-569-0077
  • Fax: 201-569-0022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00659500
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number25MZ00059900
License Number StateNJ

VIII. Authorized Official

Name: DR. JAMES J HAHN
Title or Position: PRESIDENT
Credential: D.C., L.AC.
Phone: 201-569-0077