Active NPI
Mee Kyung Han, D.M.D.
- General Practice Dentistry
- New York, NY
National Provider Identifier
1124349840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 50 057668
- Practice address
- 150 Broadway
Suite 1310
New York, NY 10038-4381 - Phone
- (212) 587-0202
- NPI assigned
- Jun 16, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI02415000 | NJ | |
| General Practice Dentistry | 1223G0001X | 50 057668 | NY | Primary |
Addresses
Primary practice location
150 Broadway
Suite 1310
New York, NY 10038-4381
Mailing address
22 Cooper Ave
Apt 202
Long Branch, NJ 07740-7474
Phone (215) 531-0688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02415000 | NJ | MD | General Practice Dentistry |
| 50 057668 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lumia Dental, PLLC | Current | Accepting new patients | |
| Suite 2229 Dental PLLC | Past | Accepting new patients |
Locations
160 Broadway
Rm 1004
New York, NY 10038
Phone (212) 287-1275
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- New York, NY
- NPI 1952950123
-
- Dentist
- Commack, NY
- NPI 1922640911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427932800000",
"number": "1124349840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 COOPER AVE",
"address_2": "APT 202",
"city": "LONG BRANCH",
"state": "NJ",
"postal_code": "077407474",
"telephone_number": "215-531-0688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 BROADWAY",
"address_2": "SUITE 1310",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100384381",
"telephone_number": "212-587-0202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "MEE KYUNG",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-16",
"last_updated": "2015-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02415000",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "50 057668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.