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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: August 09, 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
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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

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.

Other Providers at the Same Location NPPES 9

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

ROBERT S. LEE THERAPEUTIC MASSAGE, P.C.
Clinic/Center
15301 NORTHERN BLVD
FLUSHING, NY 11354
Queens County (917) 353-0953
CAREZONE PHYSICAL THERAPY, P.C.
Physical Therapist
15301 NORTHERN BLVD, SUITE 2E
FLUSHING, NY 11354
Queens County (718) 888-2514
YU KYONG PARK
Physical Therapist
15301 NORTHERN BLVD, #2G
FLUSHING, NY 11354
Queens County (718) 888-1641
JIRAN SON RPT
Physical Therapist
15301 NORTHERN BLVD, SUITE 2G
FLUSHING, NY 11354
Queens County (718) 888-1641
SYNERGYCARE PHYSICAL THERAPY, P.C.
Physical Therapist
15301 NORTHERN BLVD, SUITE 2F
FLUSHING, NY 11354
Queens County (718) 888-1669
P & I DREAM
Internal Medicine (Gastroenterology)
15301 NORTHERN BLVD, SUITE 2D
FLUSHING, NY 11354
Queens County (718) 321-3210
UNITY MASSAGE THERAPY, P.C.
Massage Therapist
15301 NORTHERN BLVD, 2G
FLUSHING, NY 11354
Queens County (718) 888-1641
DOHYUNG KIM PT
Specialist
15301 NORTHERN BLVD, STE 2E
FLUSHING, NY 11354
Queens County (718) 888-1641

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.

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.