Organization Active NPI

Cornerstone Pediatrics Richard C. Han M.D., PC

Doing business as Cornerstone Pediatrics

  • Pediatrics Physician
  • Englewood, NJ
National Provider Identifier
1811128788
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA07433600 Issued in NJ
Legal business name
CORNERSTONE PEDIATRICS RICHARD C. HAN M.D., PC
Doing business as
Cornerstone Pediatrics
Practice address
401A S Van Brunt St Ste 201
Englewood, NJ 07631-4600
Phone
(201) 894-8829
Fax
(201) 894-8859
NPI assigned
Jul 27, 2009
Last updated
Jul 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Authorized official

Name
Dr. Richard C. Han, M.D.
Title
President
Phone
(201) 894-8829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA07433600 NJ Primary

Addresses

Primary practice location

401A S Van Brunt St Ste 201
Englewood, NJ 07631-4600

Mailing address

401 S Van Brunt St Ste 201
Englewood, NJ 07631-4600
Phone (201) 894-8829

Other names 1

  • Cornerstone Pediatrics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1811128788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S VAN BRUNT ST STE 201",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314600",
            "telephone_number": "201-894-8829",
            "fax_number": "201-894-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401A S VAN BRUNT ST STE 201",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314600",
            "telephone_number": "201-894-8829",
            "fax_number": "201-894-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PEDIATRICS RICHARD C. HAN M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-894-8829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07433600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.