Active NPI
Irene Gan, APRN
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 405431
- Practice address
- 274 Madison Ave RM 1501
New York, NY 10016-0701 - Phone
- (212) 203-1773
- Fax
- (646) 665-4427
- NPI assigned
- Oct 11, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11002445 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 405431 | NY | Primary |
| Family Nurse Practitioner | 363LF0000X | 209010737 | IL |
Addresses
Primary practice location
274 Madison Ave RM 1501
New York, NY 10016-0701
Mailing address
274 Madison Ave
New York, NY 10016-0701
Phone (212) 203-1773
Other practice location 1
2125 Biscayne Blvd
Miami, FL 33137-5031
Phone (212) 203-1773
Other practice location 2
5979 Vineland Rd Ste 109
Orlando, FL 32819-7857
Phone (407) 270-7702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2125 Biscayne Blvd
FL 3
Miami, FL 33137-5031
Phone (212) 203-1773
274 Madison Ave
RM 1501
New York, NY 10016-0701
Phone (212) 203-1773
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209010737 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rivia Medical PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Rivia Medical PLLC | Family | Current | Accepting new patients |
| Aldad Medical PC | Current | Accepting new patients | |
| Psych Pointe of Florida PLC | Current | Accepting new patients | |
| Aldad Medical PC | Current | Accepting new patients | |
| Aldad Medical PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Paragon Clinical Midwest, LLC | Past | Accepting new patients | |
| Osf Multi-Specialty Group | Past | Accepting new patients |
Locations
2125 Biscayne Blvd
Miami, FL 33137
Phone (305) 573-9884
801 Brickell Ave
Fl 8
Miami, FL 33131
Phone (305) 871-4420
2125 Biscayne Blvd
Fl 3
Miami, FL 33137
6000 Turkey Lake Rd
Ste 112
Orlando, FL 32819
Phone (407) 270-7702
5979 Vineland Rd
Ste 109
Orlando, FL 32819
Phone (407) 270-7702
401 New Karner Rd
Ste 301
Albany, NY 12205
Phone (212) 203-1173
274 Madison Ave
Rm 1501
New York, NY 10016
Phone (212) 202-1773
27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100
350 East Ave
Ste 203
Rochester, NY 14604
510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051
Organizations & group practices 8
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.
-
- Psychiatry Physician
- Orlando, FL
- NPI 1447598982
-
- Psychiatry Physician
- Boston, MA
- NPI 1588310650
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Nurse Practitioner
- Merrillville, IN
- NPI 1619335700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1679900484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "274 MADISON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100160701",
"telephone_number": "212-203-1773",
"fax_number": "646-665-4427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "274 MADISON AVE RM 1501",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100160701",
"telephone_number": "212-203-1773",
"fax_number": "646-665-4427"
}
],
"practiceLocations": [
{
"address_1": "2125 Biscayne Blvd",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331375031",
"country_code": "US",
"telephone_number": "212-203-1773",
"fax_number": "646-665-4427",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5979 Vineland Rd Ste 109",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328197857",
"country_code": "US",
"telephone_number": "407-270-7702",
"fax_number": "407-270-7705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAN",
"first_name": "IRENE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-11",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11002445",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "405431",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209010737",
"primary": false
}
],
"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 Jun 16, 2026; 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.