Individual provider Active NPI

James Myungchin Ha, M.D.

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1790814184
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
172569 Issued in NY
Practice address
4110 Bowne St
#L-3
Flushing, NY 11355-5617
Phone
(718) 353-5730
Fax
(718) 353-5084
NPI assigned
Mar 3, 2007
Sex
Male
Sole proprietor
Yes

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
Internal Medicine Physician 207R00000X 172569 NY Primary

Addresses

Primary practice location

4110 Bowne St
#L-3
Flushing, NY 11355-5617

Mailing address

4110 Bowne St
#L-3
Flushing, NY 11355-5617
Phone (718) 353-5730

Other identifiers 1

IdentifierTypeStateIssuer
72F82OtherNYEMPIRE BC & BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Da-Nutrition PLLC Past Accepting new patients

Organizations & group practices 1

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": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790814184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 BOWNE ST",
            "address_2": "#L-3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555617",
            "telephone_number": "718-353-5730",
            "fax_number": "718-353-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 BOWNE ST",
            "address_2": "#L-3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555617",
            "telephone_number": "718-353-5730",
            "fax_number": "718-353-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HA",
        "first_name": "JAMES",
        "middle_name": "MYUNGCHIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "172569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC & BS",
            "identifier": "72F82",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.