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

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: August 09, 2026.

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

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
Open in Google Maps ↗

Secondary Practice Locations 3

Location 126901 76th AveNew Hyde Park, NY 11040-1433 · Phone (718) 470-3265
Location 21 Gustave L Levy PlNew York, NY 10029-6504 · Phone (212) 241-7022 · Fax (212) 241-0168
Location 32901 216th StBayside, NY 11360-2810 · Phone (718) 281-8701 · Fax (718) 281-8590

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.

Other Providers at the Same Location NPPES 20

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

ANA M GHELECHKHANI PA
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2608
PEDRO XAVIER PALACIOS PA-C
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-1000
DR. OSCAR ROLDAN
Anesthesiology
5645 MAIN ST
FLUSHING, NY 11355
Queens County (646) 962-9930
ALEXIS TORRES RODRIGUEZ
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-1507
DR. BRENT HOCHSTEIN DO
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
DR. PRINCIE NANDINI ROY MD
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
ERIC CHROSTOWSKI
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
PETER JAESUNG JO
Nurse Practitioner (Family)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (917) 340-4637

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 Angela Han's NPI number?

The NPI number for Angela Han is 1417567991. It was assigned to this individual provider in the NPPES registry on August 9, 2020.

Where is Angela Han located?

Angela Han practices at 5645 Main St, Flushing, NY 11355. The listed phone number is (718) 670-2000.

What is Angela Han's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Angela Han enrolled in Medicare?

Yes. Angela Han is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angela Han was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.