Individual provider Active NPI

Min Yen Han, MD

  • Internal Medicine Physician
  • Vernon, NJ
National Provider Identifier
1386707701
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26481 Issued in NJ
Practice address
249 RT 94
Suite 3
Vernon, NJ 07462
Phone
(973) 827-3150
Fax
(973) 827-5845
NPI assigned
Dec 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 26481 NJ Primary

Addresses

Primary practice location

249 RT 94
Suite 3
Vernon, NJ 07462

Mailing address

249 RT 94
Suite 3
Vernon, NJ 07462
Phone (973) 827-3150

Other identifiers 1

IdentifierTypeStateIssuer
0651401MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060112000223 NJ Practitioner - Internal Medicine 3870516198 Practice locations: Vernon, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

249 Route 94
Suite 2B
Vernon, NJ 07462-3327
Phone (973) 827-3150

249 RT
94 Suite 2 B
Vernon, NJ 07462

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26481NJMDInternal Medicine Physician

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386707701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 RT 94",
            "address_2": "SUITE 3",
            "city": "VERNON",
            "state": "NJ",
            "postal_code": "07462",
            "telephone_number": "973-827-3150",
            "fax_number": "973-827-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 RT 94",
            "address_2": "SUITE 3",
            "city": "VERNON",
            "state": "NJ",
            "postal_code": "07462",
            "telephone_number": "973-827-3150",
            "fax_number": "973-827-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "MIN YEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "26481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0651401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, NJ

Sources for this page

Verify at the official NPI Registry.