NPIMap

Organization Active NPI

Ji Han, MD, PLLC

  • Pain Clinic/Center
  • Flushing, NY
National Provider Identifier
1710001359
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
232226 Issued in NY
Legal business name
JI HAN, MD, PLLC
Practice address
3420 Parsons Blvd
Suite LR-LS
Flushing, NY 11354-4637
Phone
(347) 420-9845
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ji Hyeon Han, M.D.NPI 1801937750
Title
Owner
Phone
(347) 420-9845

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 232226 NY Primary

Addresses

Primary practice location

3420 Parsons Blvd
Suite LR-LS
Flushing, NY 11354-4637

Mailing address

435 E 70TH St
Apt 17J
New York, NY 10021-5342
Phone (347) 420-9845

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710001359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 E 70TH ST",
            "address_2": "APT 17J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215342",
            "telephone_number": "347-420-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 PARSONS BLVD",
            "address_2": "SUITE LR-LS",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544637",
            "telephone_number": "347-420-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JI HAN, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "JI",
        "authorized_official_middle_name": "HYEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-420-9845",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NY",
            "license": "232226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.