Jeff Pan, MD, PC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

25MA08057100 Issued in NJ

Legal business name

JEFF PAN, MD, PC

Practice address

72 State Route 27
Edison, NJ 08820-3959

Phone

(732) 205-9110

Fax

(732) 205-9120

NPI assigned

Aug 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeff Pan, M.D.NPI 1972534782

Title

Owner

Phone

(732) 205-9110

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/021ccf32-cac0-4b15-95d2-1f0aa35704ca/

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeff Pan, M.D.

  • Neurological Surgery Physician
  • Edison, NJ
  • NPI 1972534782
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104835545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 STATE ROUTE 27",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203959",
            "telephone_number": "732-205-9110",
            "fax_number": "732-205-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 STATE ROUTE 27",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203959",
            "telephone_number": "732-205-9110",
            "fax_number": "732-205-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF PAN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PAN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-205-9110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA08057100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Jay, PA-C
• Rajasingam Jayasingam, M.D.
• JB Pain Associates, LLC
• Yasser Jeelani, M.D.
• Jeevam Therapy
• Jeffs Surgical Supply Inc.
• Heather A Jeney, M.D.
• Donna Louise Jenkins, MSW
• Sueann Jensen
• Luis Jeon, RN

• Neurological Surgery Physician in Edison, NJ
• Providers in Edison, NJ by specialty
• Neurological Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.