Active NPI
Daniel Han, DC
- Chiropractor
- Edgewater, NJ
National Provider Identifier
1174931141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.012654
- Practice address
- 18 Hilliard Ave Ste B
Edgewater, NJ 07020-1953 - Phone
- (773) 999-9935
- Fax
- (201) 840-6224
- NPI assigned
- Jul 23, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 038.012654 | IL | |
| Orthopedic Chiropractor | 111NX0800X | 038.012654 | IL | |
| Sports Physician Chiropractor | 111NS0005X | 038.012654 | IL | |
| Acupuncturist | 171100000X | 25MZ00179500 | NJ | |
| Chiropractor | 111N00000X | 038.012654 | IL | Primary |
| Chiropractor | 111N00000X | 38MC00736000 | NJ |
Addresses
Primary practice location
18 Hilliard Ave Ste B
Edgewater, NJ 07020-1953
Mailing address
18 Hilliard Ave Ste B
Edgewater, NJ 07020-1953
Phone (773) 999-9935
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174931141 | Medicaid | NJ |
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 |
|---|---|---|---|
| 038.012654 | IL | MD | Chiropractor |
| 38MC00736000 | NJ | MD | Chiropractor |
| 25MZ00179500 | NJ | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nabi Movement | Acupuncturist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Acupuncturist
- Edgewater, NJ
- NPI 1104394683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1174931141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 HILLIARD AVE STE B",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070201953",
"telephone_number": "773-999-9935",
"fax_number": "201-840-6224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 HILLIARD AVE STE B",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070201953",
"telephone_number": "773-999-9935",
"fax_number": "201-840-6224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-23",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "IL",
"license": "038.012654",
"primary": false
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "IL",
"license": "038.012654",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "IL",
"license": "038.012654",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NJ",
"license": "25MZ00179500",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.012654",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00736000",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1174931141",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edgewater, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.