1. Home
  2. Directory
  3. New York
  4. Fresh Meadows
  5. Pediatrics
  6. NPI Profile

TIFFANY HAN MD
NPI 1790212314
Pediatrics - Adolescent Medicine in Fresh Meadows, NY

Active since May 13, 2017PECOS Enrolled
6738 166TH ST, FRESH MEADOWS, NY 11365(347) 886-6047 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2025, Mar 17, 2018, May 13, 2017 (3 updates tracked since 2017).

About Tiffany Han Md NPPES

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

TIFFANY HAN MD (NPI 1790212314) is an individual adolescent medicine provider in Fresh Meadows, New York, licensed in New York (321272) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Flushing.

NPPES Registry Identity

NPI1790212314
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameTIFFANY HANCredential: MD
Location Address6738 166TH STFresh Meadows, NY 11365-3206
Mailing Address6738 166th StFresh Meadows, NY 11365-3206
Phone(347) 886-6047
Sole ProprietorNo
Enumeration DateMay 13, 2017
Last NPPES UpdateSeptember 5, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1790212314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in NY · 321272
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
6738 166TH ST, Fresh Meadows, NY 11365
Open in Google Maps ↗

Secondary Practice Location 1

Location 14500 Parsons BlvdFlushing, NY 11355-2205 · Phone (718) 670-5000 ext. 5713

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Han Md 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.

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 Tiffany Han's NPI number?

The NPI number for Tiffany Han is 1790212314. It was assigned to this individual provider in the NPPES registry on May 13, 2017.

Where is Tiffany Han located?

Tiffany Han practices at 6738 166th St, Fresh Meadows, NY 11365. The listed phone number is (347) 886-6047.

What is Tiffany Han's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Tiffany Han enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tiffany Han was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.