Organization Active NPI

Lan V Pham MD PC

  • Ophthalmology Physician
  • Yorktown Heights, NY
National Provider Identifier
1619307550
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
207363 Issued in NY
Legal business name
LAN V PHAM MD PC
Practice address
1825 Commerce St
Yorktown Heights, NY 10598-4432
Phone
(914) 772-9983
Fax
(845) 251-4136
NPI assigned
Nov 13, 2013
Last updated
Mar 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Lan Phuong Vu Pham, MDNPI 1104854983
Title
MD
Phone
(914) 772-9983

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 207363 NY Primary

Addresses

Primary practice location

1825 Commerce St
Yorktown Heights, NY 10598-4432

Mailing address

1825 Commerce St
Yorktown Heights, NY 10598-4432
Phone (914) 772-9983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140805002257 NY Part B Supplier - Clinic/Group Practice 5496972002 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Yorktown Heights, NY; Mount Kisco, NY; Harrison, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1825 Commerce St
Yorktown Hts, NY 10598
Phone (914) 242-2930

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1619307550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 COMMERCE ST",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984432",
            "telephone_number": "914-772-9983",
            "fax_number": "845-251-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 COMMERCE ST",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984432",
            "telephone_number": "914-772-9983",
            "fax_number": "845-251-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAN V PHAM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "LAN PHUONG",
        "authorized_official_middle_name": "VU",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "914-772-9983",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "207363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.