Individual provider Active NPI

Yoon O Han, DPM

  • Podiatrist
  • Englewood, NJ
National Provider Identifier
1801050778
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00310900 Issued in NJ
Practice address
185 Engle St Ste 200
Englewood, NJ 07631-2446
Phone
(201) 227-0700
Fax
(201) 227-0703
NPI assigned
Jul 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00310900 NJ Primary

Addresses

Primary practice location

185 Engle St Ste 200
Englewood, NJ 07631-2446

Mailing address

185 Engle St Ste 200
Englewood, NJ 07631-2446
Phone (201) 227-0700

Other identifiers 1

IdentifierTypeStateIssuer
25MD00310900OtherNJLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20120106000136 NJ Practitioner - Podiatry 9335315704 Reassigns benefits to 1 organization
I20160329002420 NY Practitioner - Podiatry 9335315704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

185 Engle St
Suite 200
Englewood, NJ 07631-2446
Phone (201) 227-0700

5645 Main St
Flushing, NY 11355-5045
Phone (201) 227-0700

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue12
Removal of skin lesions1-10
Removal of nail tissue847
Removal or shaving of skin growth810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00310900NJMDPodiatrist
006493NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jsy Englewood Foot & Ankle Center PC Podiatrist CurrentSince Nov 15, 2011 Accepting new patients

Locations

148 State St
Fl 10
Boston, MA 02109
Phone (617) 426-2026

475 Grand Ave
Englewood, NJ 07631
Phone (201) 871-4545

185 Engle St
Ste 200
Englewood, NJ 07631
Phone (201) 227-0700

185 Engle St
Ste 202
Englewood, NJ 07631

15 Engle St
Ste 202
Englewood, NJ 07631
Phone (201) 227-0700

680 Broadway
Ste 601
Paterson, NJ 07514
Phone (973) 812-9777

2 Stahuber Ave
Union, NJ 07083
Phone (800) 446-3300

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1801050778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 ENGLE ST STE 200",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312446",
            "telephone_number": "201-227-0700",
            "fax_number": "201-227-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 ENGLE ST STE 200",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312446",
            "telephone_number": "201-227-0700",
            "fax_number": "201-227-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "YOON",
        "middle_name": "O",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00310900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "25MD00310900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.