Individual provider Active NPI

Bin Bin Fan

  • Physician Assistant
  • Astoria, NY
National Provider Identifier
1821642216
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
023573-01 Issued in NY
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

Updated by the provider on Nov 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201020001714 NY Practitioner - Physician Assistant 6103252093 Reassigns benefits to 1 organization

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
Advanced Dermatology PCGroup PAC ID 3274526850, 67 clinicians

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

LicenseStateTypeSpecialty
023573NYMDOccupational Therapist
023573-01NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.