Healthcare Provider Details

I. General information

NPI: 1366374555
Provider Name (Legal Business Name): MOHAMED-MNIR MONIR HASSAN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 BERGEN BLVD STE 8
FAIRVIEW NJ
07022-1300
US

IV. Provider business mailing address

7805 PARK AVE APT 1
NORTH BERGEN NJ
07047-5773
US

V. Phone/Fax

Practice location:
  • Phone: 201-945-1156
  • Fax:
Mailing address:
  • Phone: 201-923-3069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00820500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: