Adam Fan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01876500 Issued in 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

Last updated

Sep 7, 2022By the provider in NPPES

Sex

Male

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 NJ

Enrollment records 1

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 CenterGroup PAC ID 8820168123, 117 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Atlantic Physical Therapy Center

  • Orthopedic Physical Therapist
  • Toms River, NJ
  • NPI 1801857917
  Medicare reassignment Care Compare group NPD
• New B E S T Somerset P C

  • Physical Therapist
  • Middlesex, NJ
  • NPI 1386714475
  Medicare reassignment NPD
• Trinity Rehab Somerset PA

  • Physical Therapist
  • Somerset, NJ
  • NPI 1245789064
  Medicare reassignment NPD
• Atlantic Physical Therapy Center

  • Hand Occupational Therapist
  • Oakhurst, NJ
  • NPI 1659945228
  NPD
• Trinity Rehab Somerset PA

  dba Trinity Rehab Old Bridge

  • Physical Therapy Clinic/Center
  • East Brunswick, NJ
  • NPI 1689196040
  NPD
• Trinity Rehab Somerset PA

  dba Trinity Rehab North Wales PA

  • Physical Therapy Clinic/Center
  • North Wales, PA
  • NPI 1144892852
  NPD
• Seashore Pediatric Therapy Center PC

  • Multi-Specialty Clinic/Center
  • Manahawkin, NJ
  • NPI 1396277083
  NPD (past)

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1831748045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 JEFFERSON DR",
            "city": "SPOTSWOOD",
            "state": "NJ",
            "postal_code": "088841241",
            "telephone_number": "732-598-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BOUND BROOK RD STE 201",
            "city": "MIDDLESEX",
            "state": "NJ",
            "postal_code": "088462155",
            "telephone_number": "732-968-4422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1016 Hwy 34 Matawan",
            "address_2": "Building 9",
            "address_purpose": "LOCATION",
            "city": "Matawan",
            "state": "NJ",
            "postal_code": "07747",
            "country_code": "US",
            "telephone_number": "732-583-0085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAN",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-10",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "deactivation_date": "2022-07-11",
        "reactivation_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01876500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enable, Inc.
• Patience Enabosi, REGISTERED NURSE
• Beverly Eschbach
• Eyedocs USA LLC (Eye Docs Usa)
• John Julius Fahsbender III, D.M.D.
• Marylou Fernandes, RDN
• Juliann Fischer
• James Foote
• Diana Ibrahim Fransis, RD
• Edmond Gashi

• Physical Therapist in Middlesex, NJ
• Providers in Middlesex, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.