Hana Gastroenterology PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

241219 Issued in NY

Legal business name

HANA GASTROENTEROLOGY PC

Practice address

15301 Northern Blvd
2D
Flushing, NY 11354-5035

Phone

(718) 321-3210

Fax

(212) 685-4073

NPI assigned

Jul 21, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hyun Geun Jae, M.D.,

Title

President

Phone

(718) 321-3210

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jae Geun Hyun, M.D.

  • Specialist
  • Englewood Cliffs, NJ
  • NPI 1700045598

  NY

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1104139070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15301 NORTHERN BLVD",
            "address_2": "2D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545035",
            "telephone_number": "718-321-3210",
            "fax_number": "212-685-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15301 NORTHERN BLVD",
            "address_2": "2D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545035",
            "telephone_number": "718-321-3210",
            "fax_number": "212-685-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANA GASTROENTEROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "JAE",
        "authorized_official_first_name": "HYUN",
        "authorized_official_middle_name": "GEUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-321-3210",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "241219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Qing Han
• Shang Hyeun Han
• Zheng Han
• Han'S Therapeutic Massage, P.C.
• Hana Dental Care P.C.
• Hana Pharmacy Inc
• Hand in Hand Occupational Therapy, PC
• Handworks OT PC
• Bilal Hanif, PA-C
• Khalil Hanif

• Gastroenterology Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.