Provider Demographics
NPI:1720288483
Name:HAHN, JAMES JOONG (MS, LAC, DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:JOONG
Last Name:HAHN
Suffix:
Gender:M
Credentials:MS, LAC, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 PHEASANT RUN
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-3100
Mailing Address - Country:US
Mailing Address - Phone:917-270-3309
Mailing Address - Fax:201-569-0022
Practice Address - Street 1:696R WHITE PLAINS ROAD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583
Practice Address - Country:US
Practice Address - Phone:917-270-3309
Practice Address - Fax:201-569-0022
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00059900171100000X
PAAK000909171100000X
NY003627171100000X
NY011375111N00000X
NJ38MC00659500111N00000X
PADC009755111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ124060Medicare PIN
NYWZT5G1Medicare PIN