ANGELA SORA HAN
NPI 1417567991
Nurse Practitioner - Pediatrics in Flushing, NY

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

Active since August 09, 2020PECOS Enrolled

5645 MAIN ST, FLUSHING, NY 11355(718) 670-2000 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 23, 2024, Apr 16, 2023, Nov 16, 2022 and 2 more (5 updates tracked since 2020).

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About Angela Sora Han NPPES

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

ANGELA SORA HAN (NPI 1417567991) is an individual pediatrics provider in Flushing, New York, licensed in New York (383134) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1417567991

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameANGELA SORA HAN

Location Address5645 MAIN STFlushing, NY 11355-5045

Mailing Address2649 Strang Blvd Ste 304Yorktown Heights, NY 10598-2938

Phone(718) 670-2000

Sole ProprietorNo

Enumeration DateAugust 9, 2020

Last NPPES UpdateFebruary 10, 20265 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2026

✔ NPI 1417567991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in NY · 383134

Also ListedRegistered NurseTaxonomy 163W00000X · License 758065 (NY)

5645 MAIN ST, Flushing, NY 11355

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Secondary Practice Locations 3

Location 12901 216th StBayside, NY 11360-2810 · Phone (718) 281-8701 · Fax (718) 281-8590

Location 226901 76th AveNew Hyde Park, NY 11040-1433 · Phone (718) 470-3265

Location 31 Gustave L Levy PlNew York, NY 10029-6504 · Phone (212) 241-7022 · Fax (212) 241-0168

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Sora Han 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11355 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.