Provider Demographics
NPI:1861411134
Name:GENDY, HANY MORRIS (MD)
Entity type:Individual
Prefix:
First Name:HANY
Middle Name:MORRIS
Last Name:GENDY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 ROUTE 33 WEST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:MILLSTONE
Mailing Address - State:NJ
Mailing Address - Zip Code:08535
Mailing Address - Country:US
Mailing Address - Phone:732-851-7007
Mailing Address - Fax:732-786-0012
Practice Address - Street 1:514 ROUTE 33
Practice Address - Street 2:SUITE 6
Practice Address - City:MILLSTONE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08535-9427
Practice Address - Country:US
Practice Address - Phone:732-851-7007
Practice Address - Fax:732-786-0012
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07795100207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0049328Medicaid
NJI24388Medicare UPIN
NJ0049328Medicaid