Active NPI
Fanfan Han
- Primary Care Nurse Practitioner
- Jackson Heights, NY
National Provider Identifier
1982555280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- F355920-01
- Practice address
- 7415 37TH Ave
Jackson Heights, NY 11372-6339 - Phone
- (718) 957-4400
- NPI assigned
- Feb 4, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | F355920-01 | NY | Primary |
Addresses
Primary practice location
7415 37TH Ave
Jackson Heights, NY 11372-6339
Mailing address
190 E 206TH St Apt 4E
Bronx, NY 10458-1115
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F355920-01 | NY | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773360000000",
"number": "1982555280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 E 206TH ST APT 4E",
"city": "BRONX",
"state": "NY",
"postal_code": "104581115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7415 37TH AVE",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113726339",
"telephone_number": "718-957-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "FANFAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-04",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NY",
"license": "F355920-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.