Active NPI
Justin Ha, DO
- Family Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 306939
- Practice address
- 111 E 57TH St Ste 202
New York, NY 10022-2009 - Phone
- (646) 921-6266
- NPI assigned
- Feb 9, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 306939 | NY | Primary |
Addresses
Primary practice location
111 E 57TH St Ste 202
New York, NY 10022-2009
Mailing address
111 E 57TH St Ste 202
New York, NY 10022-2009
Other practice location 1
6860 Austin St Ste 400
Forest Hills, NY 11375-4245
Phone (929) 493-5928
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- William Carey University College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1086 N Broadway
Suite 70
Yonkers, NY 10701-1115
Phone (866) 607-2308
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 309 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Medical Services Group, LLC | Current | Accepting new patients | |
| MVC PA PLLC | Past | Accepting new patients | |
| MVC Az | Past | Accepting new patients | |
| MVC CT | Past | Accepting new patients |
Locations
2747 Crescent St
Ste 107
Astoria, NY 11102
Phone (718) 728-3200
34 Marconi St
Bronx, NY 10461
Phone (718) 518-0060
34 Marconi St
Ste 260
Bronx, NY 10461
Phone (668) 607-2308
522 Courtlandt Ave
Fl 2
Bronx, NY 10451
Phone (718) 312-6476
150 Meserole St
Fl Second
Brooklyn, NY 11206
1636 E 14th St
Ste 104
Brooklyn, NY 11229
408 Jay St
Ste 400
Brooklyn, NY 11201
150 Meserole St
Fl 2
Brooklyn, NY 11206
Phone (866) 907-2308
51 Atlantic Ave
Fl 100
Floral Park, NY 11001
Phone (914) 426-7423
6860 Austin St
Ste 400
Forest Hills, NY 11375
Phone (718) 730-9034
115 Broadhollow Rd
Ste 320
Melville, NY 11747
100 Crosby St
Rm 406
New York, NY 10012
Phone (212) 822-3515
111 E 57th St
Rm 202
New York, NY 10022
Phone (646) 921-6266
1500 Route 112
Bldg 10
Port Jefferson Station, NY 11776
Phone (631) 476-7300
3010 Westchester Ave
Ste 401
Purchase, NY 10577
Phone (914) 251-1261
1200 South Ave
Ste 302
Staten Island, NY 10314
Phone (718) 494-1900
6245 Sheridan Dr
Ste 116
Williamsville, NY 14221
Phone (716) 250-7420
1086 N Broadway
Ste 70
Yonkers, NY 10701
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 4
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.
-
dba MetroVein Centers
- Surgery Physician
- Florham Park, NJ
- NPI 1962828277
NY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1619476199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E 57TH ST STE 202",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100222009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E 57TH ST STE 202",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100222009",
"telephone_number": "646-921-6266"
}
],
"practiceLocations": [
{
"address_1": "6860 Austin St Ste 400",
"address_purpose": "LOCATION",
"city": "Forest Hills",
"state": "NY",
"postal_code": "113754245",
"country_code": "US",
"telephone_number": "929-493-5928",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HA",
"first_name": "JUSTIN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-09",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "306939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.