Active NPI
Paul S Han, MD
- Pulmonary Disease Physician
- Englewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 25MA07698300
- Practice address
- 200 Grand Avenue
Suite 102
Englewood, NJ 07631-4363 - Phone
- (201) 871-3636
- Fax
- (201) 871-2286
- NPI assigned
- Mar 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 25MA07698300 | NJ | Primary |
Addresses
Primary practice location
200 Grand Avenue
Suite 102
Englewood, NJ 07631-4363
Mailing address
200 Grand Avenue
Suite 102
Englewood, NJ 07631-4363
Phone (201) 871-3636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0121797 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Rutgers New Jersey Medical School, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
200 Grand Ave
Suite 102
Englewood, NJ 07631-4363
Phone (201) 871-3636
718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone 20183330007405
Hospital & facility affiliations
- Amedisys Home Health
- Holy Name Home Care
- Holy Name Medical Center
- Englewood Hospital and Medical Center
- Hackensack University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy Name Pulmonary Associates, PC | Pulmonary Disease | Current | Accepting new patients |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
200 Grand Ave
Ste 102
Englewood, NJ 07631
Phone (201) 481-7160
8305 Bergenline Ave
Ste A
North Bergen, NJ 07047
Phone (201) 854-7200
718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232
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.
-
- Pulmonary Disease Physician
- Teaneck, NJ
- NPI 1144484866
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hackensack, NJ
- NPI 1952402737
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Teaneck, NJ
- NPI 1043389349
Hospital
-
- Home Health Agency
- Teaneck, NJ
- NPI 1780760405
-
- General Acute Care Hospital
- Teaneck, NJ
- NPI 1104859131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1174590558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 GRAND AVENUE",
"address_2": "SUITE 102",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076314363",
"telephone_number": "201-871-3636",
"fax_number": "201-871-2286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GRAND AVENUE",
"address_2": "SUITE 102",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076314363",
"telephone_number": "201-871-3636",
"fax_number": "201-871-2286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "PAUL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "25MA07698300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0121797",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.