Jungwoo Han, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

006740 Issued in NY

Practice address

300 N Middletown Rd
Ste 11
Pearl River, NY 10965-1296

Phone

(845) 735-8440

Fax

(845) 735-8445

NPI assigned

Jul 5, 2013

Last updated

Jan 26, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY3 enrollments

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 3

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• North Jersey Foot and Ankle Center LLC

  • Podiatric Clinic/Center
  • Midland Park, NJ
  • NPI 1285182311
  Medicare reassignment NPD Authorized official
• River Podiatry, PLLC

  • Podiatric Clinic/Center
  • Pearl River, NY
  • NPI 1538607452
  NPD (past) Authorized official
• Metropolitan Podiatry Group PLLC

  • Foot & Ankle Surgery Podiatrist
  • Flushing, NY
  • NPI 1760976104
  NPD (past)
• Tri-State Retina P.C.

  dba Retina Consultants of Westchester

  • Ophthalmology Physician
  • Mount Vernon, NY
  • NPI 1396206306
  NPD (past)
• Dr. Jimmy Kim Seese

  • Foot & Ankle Surgery Podiatrist
  • Fort Lee, NJ
  • NPI 1356525695
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Good Samaritan Hospital of Suffern

  • General Acute Care Hospital
  • Suffern, NY
  • NPI 1346213469
  Care Compare affiliation

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1639519663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N MIDDLETOWN RD",
            "address_2": "STE 11",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109651296",
            "telephone_number": "845-735-8440",
            "fax_number": "845-735-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N MIDDLETOWN RD",
            "address_2": "STE 11",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109651296",
            "telephone_number": "845-735-8440",
            "fax_number": "845-735-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "JUNGWOO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-05",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00328500",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Griggs, LMT
• Danielle Guagenti
• John Victor Guglielmucci, D.C.
• Elizabeth Hackett, LMSW
• Elliot Halpert, LCSW
• Bernadette Hayes Griffin, LCSW
• Amy Heimowitz
• Jay D Helman, DPM
• Lori Helmer
• Jamie Marie Hendrickson, COTA/L

• Foot & Ankle Surgery Podiatrist in Pearl River, NY
• Providers in Pearl River, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.

Verify at the official NPI Registry.