Active NPI
James Han, O.D.
- Optometrist
- West New York, NJ
National Provider Identifier
1295832996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00636900
- Practice address
- 5202 Bergenline Ave
West New York, NJ 07093-5524 - Phone
- (201) 974-2999
- NPI assigned
- Sep 17, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | CA9005TPL | CA | |
| Optometrist | 152W00000X | 27OA00636900 | NJ | Primary |
Addresses
Primary practice location
5202 Bergenline Ave
West New York, NJ 07093-5524
Mailing address
5202 Bergenline Ave
West New York, NJ 07093-5524
Phone (201) 974-2999
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CA9005TPL | CA | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yekaterina Shteyn, OD, PC | Current | Accepting new patients |
Locations
112 Eisenhower Pkwy
Ste 129
Livingston, NJ 07039
Phone (973) 994-1444
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.
-
- Medical Specialty Clinic/Center
- Florham Park, NJ
- NPI 1992990477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1295832996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5202 BERGENLINE AVE",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070935524",
"telephone_number": "201-974-2999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5202 BERGENLINE AVE",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070935524",
"telephone_number": "201-974-2999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-17",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "CA9005TPL",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00636900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West New York, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.