Jessie A Han, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

055135-1 Issued in NY

Practice address

357 Russell Ave
Edgewater, NJ 07020-3133

Phone

(201) 341-0402

NPI assigned

Aug 25, 2010

Last updated

Aug 25, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jhan500917@nyumc.direct-ci.com

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1568778835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 RUSSELL AVE",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070203133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 RUSSELL AVE",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070203133",
            "telephone_number": "201-341-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "JESSIE",
        "middle_name": "A",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "055135-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffry Gutierrez, MSW, LSW
• Paola Andrea Gutierrez
• Shawn Gutman, DDS, MS
• Daniel Han, DC
• Haejin Han, OD
• Jungmin Han
• Heller Family Chiropractic PC
• Brian Heller, D.C.
• Migdonia Hidalgo, R.PH, LAC, MSOM
• Asante Hohn, PT, DPT

• Dentist in Edgewater, NJ
• Providers in Edgewater, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.

Verify at the official NPI Registry.