Individual provider Active NPI

Edward Ha, MD

  • Cardiovascular Disease Physician
  • Brooklyn, NY
National Provider Identifier
1841759057
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101287586 Issued in VA
Practice address
506 6TH Street
East Pavillion 3Rd FL - Dept of Internal Medicine
Brooklyn, NY 11215
Phone
(213) 798-2281
NPI assigned
Mar 18, 2019
Last updated
Sep 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X 0101287586 VA Primary
Hospitalist Physician 208M00000X 329410 NY

Addresses

Primary practice location

506 6TH Street
East Pavillion 3Rd FL - Dept of Internal Medicine
Brooklyn, NY 11215

Mailing address

30 Ridge SQ NW Apt 551
Washington, DC 20016-2988
Phone (213) 798-2281

Other practice location 1

701 N Broadway
Sleepy Hollow, NY 10591-1020
Phone (646) 248-0851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240731002958 NY Practitioner - Internal Medicine 4789121369 Reassigns benefits to 1 organization
I20251208000413 VA Practitioner - Cardiovascular Disease (Cardiology) 4789121369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians

Practice addresses (Care Compare)

900 W 3Rd St
Farmville, VA 23901-1131
Phone (434) 392-4370

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101287586VAMDCardiovascular Disease Physician
329410NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Cardiovascular Disease CurrentSince Aug 1, 2024 Accepting new patients
Centra Medical Group, LLC CurrentSince Dec 29, 2025 Accepting new patients

Locations

506 6th St
Fl 3
Brooklyn, NY 11215
Phone (718) 780-5247

300 Community Dr
Manhasset, NY 11030

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

1613 Oakwood St
Bedford, VA 24523
Phone (540) 425-7800

414 Park Ave
Danville, VA 24541
Phone (434) 791-4892

900 W 3rd St
Farmville, VA 23901
Phone (434) 392-4370

2410 Atherholt Rd
Lynchburg, VA 24501
Phone (434) 200-5252

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

1039 Mayberry Crossing Dr
Ste C
Moneta, VA 24121
Phone (434) 200-4422

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: eha66169@northwell.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1841759057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 RIDGE SQ NW APT 551",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162988",
            "telephone_number": "213-798-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 6TH STREET",
            "address_2": "EAST PAVILLION 3RD FL - DEPT OF INTERNAL MEDICINE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11215",
            "telephone_number": "213-798-2281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Sleepy Hollow",
            "state": "NY",
            "postal_code": "105911020",
            "country_code": "US",
            "telephone_number": "646-248-0851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HA",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101287586",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "329410",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.