Individual provider Active NPI

Eugene Han

  • Gastroenterology Physician
  • Englewood, NJ
National Provider Identifier
1164780797
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA10315000 Issued in NJ
Practice address
420 Grand Ave Ste 101
Englewood, NJ 07631-4141
Phone
(201) 543-3874
NPI assigned
May 2, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Gastroenterology Physician 207RG0100X 25MA10315000 NJ Primary

Addresses

Primary practice location

420 Grand Ave Ste 101
Englewood, NJ 07631-4141

Mailing address

450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (201) 543-3874

Other practice location 1

140 Sylvan Ave Ste 101A
Englewood, NJ 07632-2554
Phone (201) 874-2811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180612001051 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 9739311556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
State University of New York Downstate Medical Center, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Digestive Health LLCGroup PAC ID 5991027583, 282 clinicians
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

140 Sylvan Ave
Suite 101a
Englewood Cliffs, NJ 07632-2554
Phone (201) 945-6564

350 Engle St
Englewood, NJ 07631-1808
Phone (201) 894-3158

42 Throckmorton LN
Old Bridge, NJ 08857-2572
Phone (732) 679-8808

420 Grand Ave
Suite 101
Englewood, NJ 07631-4141
Phone (201) 569-7044

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy55
Upper gastrointestinal (GI) endoscopy for acid reflux119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Digestive Health, LLC Gastroenterology CurrentSince Mar 15, 2021 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Sep 1, 2024 Accepting new patients
Atlantic Coast Gastroenterology Associates Gastroenterology Past Accepting new patients

Locations

420 Grand Ave
Ste 101
Englewood, NJ 07631
Phone (201) 569-7044

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

140 Sylvan Ave
Ste 101A
Englewood Cliffs, NJ 07632
Phone (201) 945-6564

270 Sylvan Ave
Ste 1160
Englewood Cliffs, NJ 07632
Phone (201) 408-5505

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

42 Throckmorton Ln
Old Bridge, NJ 08857
Phone (732) 607-1111

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

Interoperability endpoints

  • Direct secure messaging: eugene.han.1@24721.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1164780797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "201-543-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 GRAND AVE STE 101",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314141",
            "telephone_number": "201-543-3874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Sylvan Ave Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "NJ",
            "postal_code": "076322554",
            "country_code": "US",
            "telephone_number": "201-874-2811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAN",
        "first_name": "EUGENE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-02",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA10315000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.