Foun-Chung Fan, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MA03990800 Issued in NJ

Practice address

25B Vreeland Rd
Florham Park, NJ 07932-1900

Phone

(973) 660-9334

Fax

(973) 660-9732

NPI assigned

Feb 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: founchung.fan.p7@direct.grophthalmology.nextgenshare.com

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1255466017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SPRING FOREST RD",
            "address_2": "STE 130",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162880",
            "telephone_number": "919-882-0706",
            "fax_number": "919-873-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25B VREELAND RD",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321900",
            "telephone_number": "973-660-9334",
            "fax_number": "973-660-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAN",
        "first_name": "FOUN-CHUNG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "MA03990800",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA03990800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3092801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence Fabrizio, D.O.
• Colin Leander Failey, M.D.
• Anthony Falco
• Falconpharmacyfp LLC
• Falconpharmacyfp LLC
• Alicia Frances Fanelli, RD
• Eric Fein, M.D.
• Natalie Fenchel, LCSW
• Leigh Fine, DNP
• Emery Fisher, D.O.

• Anesthesiology Physician in Florham Park, NJ
• Providers in Florham Park, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.