HANMI MEDICAL ASSOCIATES PA
NPI 1164683017
Internal Medicine in Ridgefield, NJ

Active since June 23, 2008CLIA 31D0919527 · Microscopy
784 GRAND AVE STE 201, RIDGEFIELD, NJ 07657(201) 724-6410(201) 346-0118 Get Directions Write a Review

NPPES record last updated: May 7, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Hanmi Medical Associates Pa NPPES

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

HANMI MEDICAL ASSOCIATES PA (NPI 1164683017) is a healthcare organization registered as an internal medicine in Ridgefield, New Jersey and active in the NPI registry since June 2008. The organization holds a CLIA Microscopy certificate valid through September 10, 2026 and lists Wonil Park, President, as its authorized official.

NPPES Registry Identity

NPI1164683017
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHANMI MEDICAL ASSOCIATES PA
Location Address784 GRAND AVE STE 201Ridgefield, NJ 07657-1043
Mailing Address784 Grand Ave Ste 201Ridgefield, NJ 07657-1043 · (201) 724-6410 · Fax (201) 346-0118
Fax(201) 346-0118
Organization SubpartNo
Authorized OfficialWonil ParkPresident · (201) 346-0999
Enumeration DateJune 23, 2008
Last NPPES UpdateMay 7, 2020
NPPES CertifiedMay 7, 2020
NPI 1164683017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NJ · 25MA05851500
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 25MA05730500 (NJ)
784 GRAND AVE STE 201, Ridgefield, NJ 07657

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 for Provider-Performed Microscopy Procedures (PPMP) 31D0919527

Hanmi Medical Associates PA · Ridgefield, NJ
Active · expires Sep 10, 2026
CLIA Number31D0919527
Laboratory TypePhysician Office
Certificate Effective DateSeptember 11, 2024
Certificate Expiration DateSeptember 10, 2026
Laboratory DirectorWonil Park
Laboratory Phone(201) 346-0999
Laboratory LocationHanmi Medical Associates PA784 Grand Ave, Suite 201, Ridgefield, NJ 07657
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

Internal Medicine
784 GRAND AVE STE 201
RIDGEFIELD, NJ 07657

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 Hanmi Medical Associates PA's NPI number?

The NPI number for Hanmi Medical Associates PA is 1164683017. It was assigned to this organization in the NPPES registry on June 23, 2008.

Where is Hanmi Medical Associates PA located?

Hanmi Medical Associates PA is located at 784 Grand Ave Ste 201, Ridgefield, NJ 07657. The listed phone number is (201) 724-6410.

What is Hanmi Medical Associates PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Hanmi Medical Associates PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 31D0919527) is associated with this NPI, valid through September 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hanmi Medical Associates PA was last updated on May 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.