Angela Phan

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

622 3Rd Ave FL 7
New York, NY 10017-6723

Phone

(212) 683-0045

NPI assigned

Apr 20, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Tab Staffing LLC

  • Home Health Agency
  • Cleona, PA
  • NPI 1437744414
  NPD

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

{
    "created_epoch": "1713571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1649025925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8659 MUSKET ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272717",
            "telephone_number": "646-256-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 3RD AVE FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176723",
            "telephone_number": "212-683-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-20",
        "last_updated": "2024-07-03",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria I Pham, DO
• Vinh Philip Pham, M.D. PH.D.
• Alexander Phan, MD
• Alice Phan, O.D.
• Andy Vo Phan, MD
• Christine Huong Phan, DDS
• Corina Phan, AGPCNP-BC
• Cuong Q Phan, M.D.
• Dai Phan, PMHNP-BC
• Donna Kim Phan, MD

• Speech-Language Pathologist in New York, NY
• Providers in New York, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.