Dandan Guan, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

018578 Issued in NY

Practice address

132 Bowery FRNT 1
New York, NY 10013-4297

Phone

(718) 864-0163

NPI assigned

Apr 22, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

State University of New York Downstate Medical Center, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Simon Li Medical PLLCGroup PAC ID 5092067827, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678

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.

• Simon Li Medical PLLC

  • Primary Care Clinic/Center
  • Brooklyn, NY
  • NPI 1952887580
  Medicare reassignment Care Compare group
• Li Family Medical PLLC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1225867393
  Medicare reassignment

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1629465158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5408 8TH AVE # 3F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203230",
            "telephone_number": "718-864-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 BOWERY FRNT 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134297",
            "telephone_number": "718-864-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUAN",
        "first_name": "DANDAN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "018578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Gualtieri, MD
• Steven Gualtieri, DDS
• Nancy Selena Guaman, RN
• Angel Ya Zhi Guan, FNP-BC
• Carrie Guan, FNP
• Mary Linpei Guan
• Nicholas Ning-Guang Guan, MD
• Peilian Guan
• Qiu Wei Guan
• Wei Guan, D.D.S

• Medical Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.