Chang H Han (NPI# 1750574158, PAC ID# 1456419670) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1750574158 |
| PAC ID by PECOS | 1456419670 |
| Professional Enrollment ID | I20081016000426 |
| Full Name | Chang H Han |
| Organization Legal Name | BERGEN ORAL SURGERY GROUP PA |
| Address |
794 Franklin Ave Suite 202 Franklin Lakes NJ 07417-1379 |
| Phone Number | 2018088700 |
| Gender | M |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2008 |
| Primary Specialty | ORAL SURGERY |
| Secondary Specialties | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 9739283763 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 794 Franklin Ave, Suite 202, Franklin Lakes, NJ 07417-1379 | 2018088700 | BERGEN ORAL SURGERY GROUP PA |
| 920 Main St, Suite 1, Hackensack, NJ 07601-5013 | 2013438297 | BERGEN ORAL SURGERY GROUP PA |
| 250 Old Hook Rd, Suite 202, Westwood, NJ 07675-3123 | 2016645656 | BERGEN ORAL SURGERY GROUP PA |
| Organization Legal Name | BERGEN ORAL SURGERY GROUP PA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven M Moss | Maxillofacial Surgery | Bergen Oral Surgery Group Pa | 920 Main St, Suite 1, Hackensack, NJ 07601-5013 |
| Vincent P Novelli | Oral Surgery | Bergen Oral Surgery Group Pa | 794 Franklin Ave, Suite 202, Franklin Lakes, NJ 07417-1379 |
| Jason Diamond | Maxillofacial Surgery | Bergen Oral Surgery Group Pa | 920 Main St, Suite 1, Hackensack, NJ 07601-5013 |
| Angela M Illuzzi Russo | Oral Surgery | Bergen Oral Surgery Group Pa | 920 Main St, Suite 1, Hackensack, NJ 07601-5013 |
| Mark Park | Maxillofacial Surgery | Bergen Oral Surgery Group Pa | 250 Old Hook Rd, Suite 202, Westwood, NJ 07675-3123 |
| Street Address |
794 FRANKLIN AVE SUITE 202 |
| City | FRANKLIN LAKES |
| State | NJ |
| Zip | 07417-1379 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott B Pomerantz | Ophthalmology | Scott B. Pomerantz, Md | 794 Franklin Ave, Suite 201, Franklin Lakes, NJ 07417-1379 |
| Adrian W Jachens | Ophthalmology | Scott B. Pomerantz, Md | 794 Franklin Ave, Suite 201, Franklin Lakes, NJ 07417-1379 |
| Vincent P Novelli | Oral Surgery | Bergen Oral Surgery Group Pa | 794 Franklin Ave, Suite 202, Franklin Lakes, NJ 07417-1379 |
| Anthony Manzella | Physical Therapy | 794 Franklin Ave, Suite 204, Franklin Lakes, NJ 07417-1379 | |
| James A Cindrario | Optometry | Scott B. Pomerantz, Md | 794 Franklin Ave, Suite 201, Franklin Lakes, NJ 07417-1379 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diane L Vollenweider | Clinical Social Worker | Clinical Psychiatry Consultants PC | 642 Dakota Trl, Franklin Lakes, NJ 07417-1007 |
| Syed A Rasheed | Psychiatry | Clinical Psychiatry Consultants PC | 642 Dakota Trl, Franklin Lakes, NJ 07417-1007 |
| Dorothy Alexander | Clinical Social Worker | Clinical Psychiatry Consultants PC | 642 Dakota Trl, Franklin Lakes, NJ 07417-1007 |
| Mamilda Robinson | Nurse Practitioner | Clinical Psychiatry Consultants PC | 642 Dakota Trl, Franklin Lakes, NJ 07417-1007 |
| Trung Le | Physical Therapy | Sportsmed Pt LLC | 784 Franklin Ave, Suite 230, Franklin Lakes, NJ 07417-1306 |
| Edward A Lin | Orthopedic Surgery | Kayal Orthopaedic Center PC | 784 Franklin Ave, Suite 250, Franklin Lakes, NJ 07417-1306 |
| Robert Albert Kayal | Orthopedic Surgery | Kayal Orthopaedic Center PC | 784 Franklin Ave, Suite 250, Franklin Lakes, NJ 07417-1306 |
| Ernest J Pope | Orthopedic Surgery | Kayal Orthopaedic Center PC | 784 Franklin Ave, Suite 250, Franklin Lakes, NJ 07417-1306 |
| Steve M Aydin | Physical Medicine and Rehabilitation | Kayal Orthopaedic Center PC | 784 Franklin Ave, Suite 250, Franklin Lakes, NJ 07417-1306 |
| Rajesh Pandey | Internal Medicine | Kayal Orthopaedic Center PC | 784 Franklin Ave, Suite 250, Franklin Lakes, NJ 07417-1306 |
| Find all physicians in zip 07417 | |||
| City | FRANKLIN LAKES |
| Zip Code | 07417 |
| Specialty | ORAL SURGERY |
| City + Specialty | FRANKLIN LAKES + ORAL SURGERY |
Please comment or provide details below to improve the information on Chang H Han.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.