Individual provider Active NPI

Evelyn S. Ha, MD

  • Pediatrics Physician
  • New City, NY
National Provider Identifier
1134128663
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
228256 Issued in NY
Practice address
236 N Main St
New City, NY 10956-5302
Phone
(845) 708-0400
Fax
(845) 708-0401
NPI assigned
Jul 18, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 228256 NY Primary

Addresses

Primary practice location

236 N Main St
New City, NY 10956-5302

Mailing address

236 N Main St
New City, NY 10956-5302
Phone (845) 708-0400

Other identifiers 1

IdentifierTypeStateIssuer
02533746MedicaidNY

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
228256NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palisades Pediatrics LLP Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: evelyn.ha.1@15234.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15234/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/FHDGBD/Endpoint/FHDGBD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1134128663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 N MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565302",
            "telephone_number": "845-708-0400",
            "fax_number": "845-708-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 N MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565302",
            "telephone_number": "845-708-0400",
            "fax_number": "845-708-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HA",
        "first_name": "EVELYN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "228256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02533746",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.