Individual provider Active NPI

Nina Pan, M.S.

  • Acupuncturist
  • Bensalem, PA
National Provider Identifier
1144372426
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AK000632 Issued in PA
Practice address
2422 Bristol Rd
Bensalem, PA 19020-6002
Phone
(215) 718-8988
Fax
(215) 752-9708
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AK000632 PA Primary
Acupuncturist 171100000X 25MZ00030700 NJ

Addresses

Primary practice location

2422 Bristol Rd
Bensalem, PA 19020-6002

Mailing address

2501 Nashua Rd
Bensalem, PA 19020-2260

Other identifiers 2

IdentifierTypeStateIssuer
APA0632OtherPALANDMARK INSURANCE
ANJ370OtherNJLANDMARK INSURANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
25MZ00030700NJMDAcupuncturist
AK000632PAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen Masceri M.D. Past Accepting new patients
Pan's Acupuncture & Herbs LLC Acupuncturist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144372426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 NASHUA RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 BRISTOL RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190206002",
            "telephone_number": "215-718-8988",
            "fax_number": "215-752-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAN",
        "first_name": "NINA",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK000632",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00030700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LANDMARK INSURANCE",
            "identifier": "APA0632",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LANDMARK INSURANCE",
            "identifier": "ANJ370",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.