Active NPI
Cornerstone Pediatrics Richard C. Han M.D., PC
Doing business as Cornerstone Pediatrics
- Pediatrics Physician
- Englewood, NJ
National Provider Identifier
1811128788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA07433600
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.