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HANA GASTROENTEROLOGY PC
NPI 1104139070
Internal Medicine - Gastroenterology in Flushing, NY

Active since July 21, 2010CLIA 33D2014602 · Waiver
15301 NORTHERN BLVD, 2D, FLUSHING, NY 11354(718) 321-3210(212) 685-4073 Get Directions Write a Review

NPPES record last updated: November 2, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hana Gastroenterology Pc NPPES

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

HANA GASTROENTEROLOGY PC (NPI 1104139070) is a healthcare organization registered as a gastroenterology in Flushing, New York and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Hyun Geun Jae, President, as its authorized official.

NPPES Registry Identity

NPI1104139070
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameHANA GASTROENTEROLOGY PC
Location Address15301 NORTHERN BLVD, 2DFlushing, NY 11354-5035
Mailing Address15301 Northern Blvd, 2dFlushing, NY 11354-5035 · (718) 321-3210 · Fax (212) 685-4073
Phone(718) 321-3210
Fax(212) 685-4073
Organization SubpartNo
Authorized OfficialHyun Geun JaePresident · (718) 321-3210
Enumeration DateJuly 21, 2010
Last NPPES UpdateNovember 2, 2010
✔ NPI 1104139070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 241219
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
15301 NORTHERN BLVD, Flushing, NY 11354
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hana Gastroenterology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Hana Gastroenterology PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jae Geun Hyun, M.D.
Gastroenterology
NPI 1700045598
400 SYLVAN AVE STE 103
Englewood Cliffs, NJ 07632
(201) 227-1455
✔ PECOS✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2014602

Hana Gastroenterology PC · Flushing, NY
Active · expires Mar 26, 2027
CLIA Number33D2014602
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 13, 2010
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Jae Geun Hyun
Laboratory Phone(718) 321-3210
Laboratory LocationHana Gastroenterology PC153-01 Northern Blvd - Suite D, Flushing, NY 11354
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Hana Gastroenterology PC's NPI number?

The NPI number for Hana Gastroenterology PC is 1104139070. It was assigned to this organization in the NPPES registry on July 21, 2010.

Where is Hana Gastroenterology PC located?

Hana Gastroenterology PC is located at 15301 Northern Blvd 2D, Flushing, NY 11354. The listed phone number is (718) 321-3210.

What is Hana Gastroenterology PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Hana Gastroenterology PC enrolled in Medicare?

Yes. Hana Gastroenterology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hana Gastroenterology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Hana Gastroenterology PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hana Gastroenterology PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2014602) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hana Gastroenterology PC was last updated on November 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.