Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mark Hanna

Individual provider Registered Dietitian · NPI 1073322566

Mark Hanna is registered under Registered Dietitian OR Nutrition Professional in Old Bridge, New Jersey. Qualified in 2022, 4 years ago. Practices with Nourish, Inc, a 277-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2024

Practice location Address checks out

35 Arden Rd
Old Bridge, NJ 08857-1829
Phone: (732) 589-2266
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86170043 (NJ)

Record details

NPI number1073322566
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 30, 2024
Last updated in NPPESDecember 30, 2024
Certification dateDecember 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Nourish, Inc. — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Nourish, Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 277 clinicians in the practice; 12 are shown here.

Other providers in Old Bridge