Individual provider Active NPI

Justin Ha, DO

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1619476199
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
306939 Issued in NY
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

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201221001995 NY Practitioner - Family Practice 2163834870 Reassigns benefits to 1 organization

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
New Jersey Medical Services Group LLCGroup PAC ID 4486878626, 27 clinicians

Practice addresses (Care Compare)

1086 N Broadway
Suite 70
Yonkers, NY 10701-1115
Phone (866) 607-2308

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal309

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Medical Services Group, LLC CurrentSince Oct 1, 2020 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.

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

Verify at the official NPI Registry.