Active NPI
Edward M Ha, M.D.
- Physical Medicine & Rehabilitation Physician
- Flushing, NY
National Provider Identifier
1588832455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 142074
- Practice address
- 3341 149TH St
Flushing, NY 11354-3241 - Phone
- (718) 359-1144
- Fax
- (718) 359-7946
- NPI assigned
- Feb 13, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 142074 | NY | Primary |
| Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 2081N0008X | 142074 | NY | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 142074 | NY | |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 142074 | NY |
Addresses
Primary practice location
3341 149TH St
Flushing, NY 11354-3241
Mailing address
4903 Cloverdale Blvd
Oakland Gardens, NY 11364-1420
Phone (718) 359-1144
Other names 1
- Dr. Myung H Ha
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090923000003 | NY | Practitioner - Physical Medicine and Rehabilitation | 7214083849 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 142074 | NY | MD | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMC Occupational Health Services, PC | Past | Accepting new patients | |
| New York University | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Interoperability endpoints
- eha676380@nychhc.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Flushing, NY
- NPI 1194712323
-
dba Kennedy Medical Offices
- Specialist
- Jamaica, NY
- NPI 1649473471
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1588832455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4903 CLOVERDALE BLVD",
"city": "OAKLAND GARDENS",
"state": "NY",
"postal_code": "113641420",
"telephone_number": "718-359-1144",
"fax_number": "718-359-7946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3341 149TH ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113543241",
"telephone_number": "718-359-1144",
"fax_number": "718-359-7946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HA",
"first_name": "EDWARD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-13",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "142074",
"primary": true
},
{
"code": "2081N0008X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
"state": "NY",
"license": "142074",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NY",
"license": "142074",
"primary": false
},
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "NY",
"license": "142074",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MYUNG",
"last_name": "HA",
"middle_name": "H",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.