Active NPI
Francis Sangik Han, D.D.S.
- General Practice Dentistry
- Fort Lee, NJ
National Provider Identifier
1942579768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 010600
- Practice address
- 158 English St Unit a
Fort Lee, NJ 07024-6904 - Phone
- (347) 216-5641
- NPI assigned
- Dec 22, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 010600 | CT | Primary |
Addresses
Primary practice location
158 English St Unit a
Fort Lee, NJ 07024-6904
Mailing address
360 Boston Ave Ste 17
Stratford, CT 06614-5213
Phone (203) 375-1388
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942579768 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010600 | CT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FSH Dental | Current | 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.
-
- Dental Clinic/Center
- Bronx, NY
- NPI 1467295220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592956800000",
"number": "1942579768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 BOSTON AVE STE 17",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066145213",
"telephone_number": "203-375-1388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 ENGLISH ST UNIT A",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070246904",
"telephone_number": "347-216-5641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "FRANCIS",
"middle_name": "SANGIK",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-22",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "010600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1942579768",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.