Emily Gan, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1305 Post Rd Ste 310
Fairfield, CT 06824-6016

Phone

(203) 259-7709

Fax

(203) 259-7709

NPI assigned

Jun 9, 2020

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 MA, CT2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Fairfield Dermatology P.C.Group PAC ID 9234201716, 10 clinicians

Reliant Medical Group IncGroup PAC ID 5597755322, 638 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: emily.gan.npi1699390237.reliant@direct.optumcare.masshiway.net

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.

• Fairfield Dermatology, P.C.

  • Specialist
  • Fairfield, CT
  • NPI 1023295524
  Medicare reassignment Care Compare group
• Reliant Medical Group, Inc

  • Family Medicine Physician
  • Worcester, MA
  • NPI 1720017528
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1699390237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CABOT RD UNIT 335",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555287",
            "telephone_number": "860-593-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 POST RD STE 310",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246016",
            "telephone_number": "203-259-7709",
            "fax_number": "203-259-7709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Andover St Ste 1R",
            "address_purpose": "LOCATION",
            "city": "Andover",
            "state": "MA",
            "postal_code": "018104888",
            "country_code": "US",
            "telephone_number": "978-475-9230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Beacon St Ste 1E",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024465587",
            "country_code": "US",
            "telephone_number": "617-731-2390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAN",
        "first_name": "EMILY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Gagnon
• Pamela A. Gale, PTA
• Joshua Lawrence Galiani, DDS
• Robert S Galvin, MD
• Rosaleen Christine Galvin, NURSE PRACTITIONER
• Tanvi Gandhi, LAC
• Mark Jay Gang, PHD
• Stacy Ganthier, BSN RN
• Alma Garcia
• Eric M Garver, MD

• Physician Assistant in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.