Isaac Ikseung Han, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB11166400 Issued in NJ

Practice address

8 Hedden Ter
North Arlington, NJ 07031-6109

Phone

(201) 991-5353

Fax

(201) 991-0587

NPI assigned

Mar 2, 2018

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

Other identifiers 1

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

Specialty

Family Practice

Education

Touro Un Col of Osteopathic Medicine, New York, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hudson MD GroupGroup PAC ID 6103240478, 110 clinicians

Rwjbh Primary Care ServicesGroup PAC ID 0749699346, 266 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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 and National Provider Directory roles.

• Hudson MD Group

  • Family Medicine Physician
  • Englewood Cliffs, NJ
  • NPI 1497301998
  Medicare reassignment Care Compare group NPD
• Rwjbh Primary Care Services

  • Internal Medicine Physician
  • West Orange, NJ
  • NPI 1265037501

  Family Medicine

  Medicare reassignment Care Compare group NPD
• David W. Lee MD PA

  • Adult Medicine Physician
  • Fort Lee, NJ
  • NPI 1932394079
  NPD (past)

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1467954701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 OLD SHORT HILLS RD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521008",
            "telephone_number": "888-724-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HEDDEN TER",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070316109",
            "telephone_number": "201-991-5353",
            "fax_number": "201-991-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "ISAAC",
        "middle_name": "IKSEUNG",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-02",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB11166400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00122528400",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald J Gironda, PH.D.
• Armand J. Grasso, M.D.
• Eugene M. Graziano, M.D.
• Jessica Lynn Greenberg, DMD
• Richard Ralph Guma, D.C.
• HB Drugs Inc
• HB Drugs Inc
• Mariam Henry, RPH
• Shileen Hernandez, PTA
• Maria C Hierro

• Family Medicine Physician in North Arlington, NJ
• Providers in North Arlington, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.
• 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.