Active NPI
Joshua Han
- Family Nurse Practitioner
- Secaucus, NJ
National Provider Identifier
1346893476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ01009200
- Practice address
- 1 Harmon PLZ
Secaucus, NJ 07094-2803 - Phone
- (551) 257-7030
- Fax
- (551) 257-7025
- NPI assigned
- Jul 18, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 309142 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ01009200 | NJ | |
| Family Nurse Practitioner | 363LF0000X | 26NJ01009200 | NJ | Primary |
Addresses
Primary practice location
1 Harmon PLZ
Secaucus, NJ 07094-2803
Mailing address
1 Harmon PLZ
Secaucus, NJ 07094-2803
Phone (551) 257-7030
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Englewood Healthcare Associates PC | Past | Accepting new patients | |
| Riverside Medical Group | Past | Accepting new patients | |
| A.G. Dikengil, MD, PA | Past | Accepting new patients |
Interoperability endpoints
- https://epicproxy.et1073.epichosted.com/FHIRProxy/api/FHIR/R4/
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.
-
- Radiology Clinic/Center
- Lyndhurst, NJ
- NPI 1205992690
-
- Specialist
- Englewood, NJ
- NPI 1013146620
-
- Nurse Practitioner
- Secaucus, NJ
- NPI 1053867598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1346893476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HARMON PLZ",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070942803",
"telephone_number": "551-257-7030",
"fax_number": "551-257-7025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HARMON PLZ",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070942803",
"telephone_number": "551-257-7030",
"fax_number": "551-257-7025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "JOSHUA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-18",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "309142",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ01009200",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ01009200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Secaucus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.