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JAESANG HA
NPI 1083418040
Student in an Organized Health Care Education/Training Program in Portsmouth, NH

Active since April 01, 2025PECOS Enrolled
100 EILEEN DONDERO FOLEY AVE GRADUATE MEDICAL EDUCATION, SUITE 110, PORTSMOUTH, NH 03801(603) 368-6500 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 8, 2025, Apr 1, 2025 (2 updates tracked since 2025).

About Jaesang Ha NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAESANG HA (NPI 1083418040) is an individual student in an organized health care education/training program in Portsmouth, New Hampshire and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083418040
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAESANG HA
Location Address100 EILEEN DONDERO FOLEY AVE GRADUATE MEDICAL EDUCATION, SUITE 110Portsmouth, NH 03801
Mailing Address100 Eileen Dondero Foley Ave Graduate Medical Education, Suite 110Portsmouth, NH 03801 · (603) 368-6500
Phone(603) 368-6500
Sole ProprietorNo
Enumeration DateApril 1, 2025
Last NPPES UpdateAugust 8, 20252 updates tracked since enumeration
✔ NPI 1083418040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
100 EILEEN DONDERO FOLEY AVE GRADUATE MEDICAL EDUCATION, Portsmouth, NH 03801
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaesang Ha is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAWAD KAYED JERIES HADDADIN M.D
Student in an Organized Health Care Education/Training Program
100 EILEEN DONDERO FOLEY AVE GRADUATE MEDICAL EDUCATION, SUITE 110
PORTMOUTH, NH 03801
Rockingham County (603) 559-4129
DR. ALI MARDINI M.D.
Student in an Organized Health Care Education/Training Program
100 EILEEN DONDERO FOLEY AVE GRADUATE MEDICAL EDUCATION, SUITE 110
PORTSMOUTH, NH 03801
Rockingham County (603) 559-4129
AMRO ASFOUR MD
Student in an Organized Health Care Education/Training Program
100 EILEEN DONDERO FOLEY AVE GRADUATE MEDICAL EDUCATION, SUITE 110
PORTMOUTH, NH 03801
Rockingham County (603) 559-4129

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaesang Ha's NPI number?

The NPI number for Jaesang Ha is 1083418040. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Where is Jaesang Ha located?

Jaesang Ha practices at 100 Eileen Dondero Foley Ave Graduate Medical Education Suite 110, Portsmouth, NH 03801. The listed phone number is (603) 368-6500.

What is Jaesang Ha's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jaesang Ha enrolled in Medicare?

Yes. Jaesang Ha is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaesang Ha was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.