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DR. CHANG H HAN DDS MD NPI 1750574158


NPI Information

NPI: 1750574158
Provider Name: DR. CHANG H HAN, DDS, MD
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Organization: BERGEN ORAL SURGERY GROUP PA

PECOS Registration: Yes

Address:
920 MAIN STREET
C/O BERGEN ORAL SURGERY GROUP, PA
HACKENSACK, NJ
ZIP 07601
Phone: (201) 343-8297
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DR. Chang H Han, DDS, MD is an oral and maxillofacial surgery dentist in Hackensack, NJ with 16 years of experience. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Chang H Han, DDS, MD NPI is 1750574158. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:2008

The provider's business location address is:

920 MAIN STREET
C/O BERGEN ORAL SURGERY GROUP, PA
HACKENSACK, NJ
ZIP 07601
Phone: (201) 343-8297
Fax: (201) 343-2535

The NPI 1750574158 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Repair of nasal or cheek bone with bone graft (HCPCS:21210)

The enumeration date for this NPI number is 8/20/2007 and was last updated on 6/30/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery050196NEW YORKNo
21223S0112XDentistOral and Maxillofacial Surgery22DI02309700NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.