Active NPI
Bin Bin Fan
- Physician Assistant
- Astoria, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 023573-01
- Practice address
- 2747 Crescent St Ste 206
Astoria, NY 11102-3142 - Phone
- (718) 626-8181
- NPI assigned
- Jul 24, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 023573-01 | NY | Primary |
Addresses
Primary practice location
2747 Crescent St Ste 206
Astoria, NY 11102-3142
Mailing address
2747 Crescent St Ste 206
Astoria, NY 11102-3142
Phone (718) 626-8181
Other practice location 1
142 Joralemon St Ste 4B
Brooklyn, NY 11201-4709
Phone (718) 237-0404
Other practice location 2
7308 Springfield Blvd Fl 1
Bayside, NY 11364-3022
Phone (718) 464-0109
Other practice location 3
5847 188th St
Fresh Meadows, NY 11365-2201
Phone (718) 357-8200
Other practice location 4
2627 Hylan Blvd # B
Staten Island, NY 10306-4344
Phone (718) 351-8101
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Pennsylvania State University College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10460 Queens Blvd
Suite 1C
Forest Hills, NY 11375-7301
Phone (718) 275-5555
142 Joralemon St
Brooklyn, NY 11201-4709
Phone (718) 237-0404
2747 Crescent St
Suite 206
Astoria, NY 11102-3142
Phone (718) 626-8181
4 Technology Dr
Suite 180
East Setauket, NY 11733-4068
Phone (631) 689-3188
5847 188TH St
Fresh Meadows, NY 11365-2201
Phone (718) 357-8200
7308 Springfield Blvd
Bayside, NY 11364-3022
Phone (718) 464-0109
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023573 | NY | MD | Occupational Therapist |
| 023573-01 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anthony Buglino DO PLLC | Past | Accepting new patients | |
| Dermatologic Surgery of Lexington Ave PC | Past | Accepting new patients | |
| Howard D. Solomon, DO, PC | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
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 and National Provider Directory roles.
-
- Dermatology Physician
- New Hyde Park, NY
- NPI 1134201460
-
- Plastic Surgery Physician
- Woodbury, NY
- NPI 1730582834
-
- Specialist
- New York, NY
- NPI 1831417468
-
- Procedural Dermatology Physician
- Forest Hills, NY
- NPI 1598054520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1821642216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2747 CRESCENT ST STE 206",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111023142",
"telephone_number": "718-626-8181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2747 CRESCENT ST STE 206",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111023142",
"telephone_number": "718-626-8181"
}
],
"practiceLocations": [
{
"address_1": "142 Joralemon St Ste 4B",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112014709",
"country_code": "US",
"telephone_number": "718-237-0404",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7308 Springfield Blvd Fl 1",
"address_purpose": "LOCATION",
"city": "Bayside",
"state": "NY",
"postal_code": "113643022",
"country_code": "US",
"telephone_number": "718-464-0109",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5847 188th St",
"address_purpose": "LOCATION",
"city": "Fresh Meadows",
"state": "NY",
"postal_code": "113652201",
"country_code": "US",
"telephone_number": "718-357-8200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2627 Hylan Blvd # B",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103064344",
"country_code": "US",
"telephone_number": "718-351-8101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAN",
"first_name": "BIN BIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-24",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "023573-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.