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SANDY JAEHYUN HA
NPI 1780173955
Oral & Maxillofacial Surgery in Marlton, NJ

Active since May 03, 2018Opted out of Medicare · through Aug 11, 2028
475 OLD MARLTON PIKE W, STE C, MARLTON, NJ 08053(856) 983-0202 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 30, 2026, Dec 8, 2025, Jul 1, 2025 and 2 more (5 updates tracked since 2018).

About Sandy Jaehyun Ha NPPES

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

SANDY JAEHYUN HA (NPI 1780173955) is an individual oral & maxillofacial surgery provider in Marlton, New Jersey, licensed in New Jersey (22DI03092400) and active in the NPI registry since May 2018. She has opted out of Medicare through August 11, 2028 and remains eligible to order and refer and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2021).

NPPES Registry Identity

NPI1780173955
Entity TypeIndividualFemale
Primary Taxonomy204E00000X
Provider Legal NameSANDY JAEHYUN HA
Location Address475 OLD MARLTON PIKE W, STE CMarlton, NJ 08053-2089
Mailing Address475 Old Marlton Pike W Ste CMarlton, NJ 08053-2089 · (856) 983-0202
Phone(856) 983-0202
Sole ProprietorYes
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2021
Enumeration DateMay 3, 2018
Last NPPES UpdateMarch 30, 20265 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1780173955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in NJ · 22DI03092400
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 22DI03092400 (NJ), V1780 (TX), 39228 (TX)
475 OLD MARLTON PIKE W, Marlton, NJ 08053
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Sandy Jaehyun Ha has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 11, 2026 through August 11, 2028.

Opt-Out Effective DateAugust 11, 2026
Opt-Out In Effect ThroughAugust 11, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 10

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

DR. RAYMOND R. HANCOCK D.D.S.
Dentist (Prosthodontics)
475 OLD MARLTON PIKE W
MARLTON, NJ 08053
Burlington County (856) 983-3880
DR. BRYAN H LEVEY MD
Pediatrics (Adolescent Medicine)
475 OLD MARLTON PIKE W, SUITE 4
MARLTON, NJ 08053
Burlington County (609) 662-5437
MS. DIANNE LAZER MA CCCSLP COM
Speech-Language Pathologist
475 OLD MARLTON PIKE W, SUITE 1
MARLTON, NJ 08053
Burlington County (856) 983-6160
MARY K GRINOVICS OT
Occupational Therapist
475 OLD MARLTON PIKE W, SUITE 1
MARLTON, NJ 08053
Burlington County (856) 983-6160
JENNIFER BERGMAN MS CCC LLC
Speech-Language Pathologist
475 OLD MARLTON PIKE W, SUITE 1
MARLTON, NJ 08053
Burlington County (856) 983-6160
RAYMOND R. HANCOCK, D.D.S.
Dentist (Prosthodontics)
475 OLD MARLTON PIKE W
MARLTON, NJ 08053
Burlington County (856) 983-3880
JOSEPH SIRECI DO
Family Medicine
475 OLD MARLTON PIKE W
MARLTON, NJ 08053
Burlington County (856) 702-6700
OCCUPATIONAL THERAPY SERVICES OF PEDIATRIC REHAB NETWORK
Occupational Therapist
475 OLD MARLTON PIKE W, SUITE 1
MARLTON, NJ 08053
Burlington County (856) 983-6160

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 Sandy Ha's NPI number?

The NPI number for Sandy Ha is 1780173955. It was assigned to this individual provider in the NPPES registry on May 3, 2018.

Where is Sandy Ha located?

Sandy Ha practices at 475 Old Marlton Pike W Ste C, Marlton, NJ 08053. The listed phone number is (856) 983-0202.

What is Sandy Ha's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Sandy Ha enrolled in Medicare?

No. Sandy Ha has opted out of Medicare through August 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Sandy Ha accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 6 other insurers list Sandy Ha as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sandy Ha was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.