Sungho Han, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00982400 Issued in NJ

Practice address

750 Broadway
Suite B
Paterson, NJ 07514-1353

Phone

(973) 345-1312

Fax

(973) 742-0669

NPI assigned

Sep 20, 2006

Last updated

Jun 19, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Action Physical Therapy and Sports Rehabilitation IncGroup PAC ID 1557514064, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Action Physical Therapy & Sports Rehabilitation Inc

  • Physical Therapist
  • Totowa, NJ
  • NPI 1033140819
  Medicare reassignment Care Compare group NPD
• Advanced Performance Chiropractic & Rehab Center LLC

  • Rehabilitation Chiropractor
  • Ramsey, NJ
  • NPI 1619013042
  NPD (past)
• All Garden State Physical Therapy & Sports Medicine Center, Inc.

  • Physical Therapist
  • Paterson, NJ
  • NPI 1679599294
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434672000000",
    "number": "1184722951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 BROADWAY",
            "address_2": "SUITE B",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141353",
            "telephone_number": "973-345-1312",
            "fax_number": "973-742-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 BROADWAY",
            "address_2": "SUITE B",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141353",
            "telephone_number": "973-345-1312",
            "fax_number": "973-742-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "SUNGHO",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00982400",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0242161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadia Hamdi, CPNP
• Ahmed Hammouda
• Mohamed Hammouda
• Bayan R Hammoudeh, FNP
• Rawan Hammoudeh, FNP-C
• Evangeline S. Hance, APN
• Harvey Hanna, DDS
• Maggie Hanna, M.D.
• Sumaiya Maria Haque
• Madhu Hardasmalani, MD

• Physical Therapist in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.