Active NPI
Pang-Dian Fan, M.D., PH.D.
- Medical Oncology Physician
- New York, NY
National Provider Identifier
1184878837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 230836
- Practice address
- 303 E 60TH St
Apt 15C
New York, NY 10022-1514 - Phone
- (212) 826-0731
- NPI assigned
- Nov 7, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 230836 | NY | Primary |
Addresses
Primary practice location
303 E 60TH St
Apt 15C
New York, NY 10022-1514
Mailing address
303 E 60TH St
Apt 15C
New York, NY 10022-1514
Phone (212) 826-0731
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
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230836 | NY | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226016000000",
"number": "1184878837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 E 60TH ST",
"address_2": "APT 15C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221514",
"telephone_number": "212-826-0731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 E 60TH ST",
"address_2": "APT 15C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221514",
"telephone_number": "212-826-0731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAN",
"first_name": "PANG-DIAN",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-07",
"last_updated": "2008-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "NY",
"license": "230836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.