Active NPI
Sarah Y Fan, M.D.
- Cardiovascular Disease Physician
- Hackettstown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25MA08829800
- Practice address
- 653 Willow Grove St
Ste 1000
Hackettstown, NJ 07840-1732 - Phone
- (908) 852-9020
- Fax
- (908) 852-5056
- NPI assigned
- Jun 1, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 25MA08829800 | NJ | Primary |
| Nuclear Cardiology Physician | 207UN0901X | 25MA08829800 | NJ |
Addresses
Primary practice location
653 Willow Grove St
Ste 1000
Hackettstown, NJ 07840-1732
Mailing address
375 Mount Pleasant Ave
West Orange, NJ 07052-2724
Phone (973) 731-9442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Perelman School of Med at the University of Pennsylvania, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 S Orange Ave
Livingston, NJ 07039-5817
375 Mount Pleasant Ave
West Orange, NJ 07052-2750
Phone (973) 731-9442
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Hospital & facility affiliations
- Cooperman Barnabas Medical Center
- Morristown Medical Center
- Clara Maass Medical Center
- Newton Medical Center
- Community Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.51 of 100
- Quality
- 84.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08829800 | NJ | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Nicu Associates at Saint Barnabas | Past | Accepting new patients | |
| Saint Barnabas Heart Center at Hackettstown | Cardiovascular Disease | Past | Accepting new patients |
Locations
653 Willow Grove St
Ste 1000
Hackettstown, NJ 07840
Phone (908) 852-9020
653 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 850-3100
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
235 Millburn Ave
Ste 101
Millburn, NJ 07041
Phone (973) 376-8034
3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949
101 Old Short Hills Rd
Ste 120
West Orange, NJ 07052
Phone (973) 731-7868
375 Mount Pleasant Ave
West Orange, NJ 07052
Phone (973) 322-6900
375 Mount Pleasant Ave
Ste 102
West Orange, NJ 07052
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
-
- Neonatal-Perinatal Medicine Physician
- Livingston, NJ
- NPI 1992753115
-
- Cardiovascular Disease Physician
- Hackettstown, NJ
- NPI 1346471513
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Morristown Medical Center
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
-
- General Acute Care Hospital
- Belleville, NJ
- NPI 1902901333
-
- General Acute Care Hospital
- Toms River, NJ
- NPI 1013010917
-
- General Acute Care Hospital
- Livingston, NJ
- NPI 1396857488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283472000000",
"number": "1821035411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 MOUNT PLEASANT AVE",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070522724",
"telephone_number": "973-731-9442",
"fax_number": "973-731-2918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "653 WILLOW GROVE ST",
"address_2": "STE 1000",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078401732",
"telephone_number": "908-852-9020",
"fax_number": "908-852-5056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAN",
"first_name": "SARAH",
"middle_name": "Y",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2010-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA08829800",
"primary": true
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "NJ",
"license": "25MA08829800",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackettstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.