Adam Fan, DPT
Individual provider Active NPI Physical Therapist · Middlesex, NJ
NPI 1831748045 · NPPES record last updated Sep 7, 2022
Key facts
- NPI
- 1831748045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 40QA01876500 (NJ)
- Practice address
- 601 Bound Brook Rd Ste 201
Middlesex, NJ 08846-2155 - Phone
- (732) 968-4422
- NPI assigned
- Sep 10, 2019
- Reactivated
- Aug 4, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Atlantic Physical Therapy Center
Practice addresses (Care Compare)
209 Applegarth Rd
Suite E 108
Monroe, NJ 08831-3842
Phone (732) 992-8200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191030001165 | NJ | Practitioner - Physical Therapist in Private Practice | 2264764968 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01876500 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Rehab Somerset PA | Current |
Accepting new patients | |
| Trinity Rehab Somerset PA | Current |
Accepting new patients | |
| Atlantic Physical Therapy Center | Physical Therapist | Current |
Accepting new patients |
| Atlantic Physical Therapy Center | Current |
Accepting new patients | |
| New B E S T Somerset P C | Physical Therapist | Current |
Accepting new patients |
| Trinity Rehab Somerset PA | Physical Therapist | Current | Accepting new patients |
| Seashore Pediatric Therapy Center PC | Past | Accepting new patients |
Locations
400 US Highway 130
East Windsor, NJ 08520
Phone (609) 918-0600
1037 Route 70
Manchester, NJ 08759
Phone (732) 408-1800
1016 Highway 34
Ste 9
Matawan, NJ 07747
Phone (732) 583-0085
601 Bound Brook Rd
Ste 201
Middlesex, NJ 08846
Phone (732) 968-4422
209 Applegarth Rd
Ste E108
Monroe, NJ 08831
Phone (732) 992-8200
328 Newman Springs Rd
Ste 10
Red Bank, NJ 07701
1500 Meeting House Rd
Sea Girt, NJ 08750
Phone (732) 722-8787
175 Route 37 W
#R
Toms River, NJ 08755
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01876500 | NJ | Yes |
Addresses
Primary practice location
601 Bound Brook Rd Ste 201
Middlesex, NJ 08846-2155
Mailing address
68 Jefferson Dr
Spotswood, NJ 08884-1241
Phone (732) 598-4647
Other practice location 1
1016 Hwy 34 Matawan
Building 9
Matawan, NJ 07747
Phone (732) 583-0085
Other providers in Middlesex, NJ
- Enable, Inc.
- Patience Enabosi
- Beverly Eschbach
- Eyedocs USA LLC
- John Julius Fahsbender III
- Marylou Fernandes
- Juliann Fischer
- James Foote
- Diana Ibrahim Fransis
- Edmond Gashi
All providers in Middlesex, NJ · Physical Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.