Individual provider Active NPI

Edward M Ha, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Flushing, NY
National Provider Identifier
1588832455
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
142074 Issued in NY
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

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090923000003 NY Practitioner - Physical Medicine and Rehabilitation 7214083849

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
142074NYMDNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Occupational Health Services, PC Past Accepting new patients
New York University Physical Medicine & Rehabilitation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.