Individual provider Active NPI

Cathy J Han, DDS

  • General Practice Dentistry
  • Bronx, NY
National Provider Identifier
1740358993
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
048141 Issued in NY
Practice address
2016 Bronxdale Ave
Third Floor Suite 303
Bronx, NY 10462
Phone
(718) 792-7972
Fax
(718) 792-8311
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 048141 NY Primary

Addresses

Primary practice location

2016 Bronxdale Ave
Third Floor Suite 303
Bronx, NY 10462

Mailing address

2016 Bronxdale Ave
Third Floor Suite 303
Bronx, NY 10462
Phone (718) 792-7972

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220815001472 NY Practitioner - Dentist 8729461314 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Union Community Health Center, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Bronx Park Dental PC General Practice Past Accepting new patients

Locations

260 E 188th St
Bronx, NY 10458
Phone (718) 618-8236

2016 Bronxdale Ave
Ste 303
Bronx, NY 10462
Phone (718) 792-7972

2021 Grand Concourse
Bronx, NY 10453
Phone (718) 299-2800

Interoperability endpoints

  • Direct secure messaging: cathy.han.1@18107.direct.athenahealth.com

Organizations & group practices 2

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740358993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 BRONXDALE AVE",
            "address_2": "THIRD FLOOR SUITE 303",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10462",
            "telephone_number": "718-792-7972",
            "fax_number": "718-792-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 BRONXDALE AVE",
            "address_2": "THIRD FLOOR SUITE 303",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10462",
            "telephone_number": "718-792-7972",
            "fax_number": "718-792-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "CATHY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.