Active NPIIndividual provider

Dr. Peter C Fan, AUDIOLOGIST (AUD)

Audiologist in Old Bridge, New Jersey

NPI Number1003077405
Practice location
200 Perrine RD Ste 210, Old Bridge, NJ 08857-2836
Fax
—
Last updated
October 31, 2022

Peter C Fan is an Audiologist based in Old Bridge, NJ. Peter C Fan practices in Old Bridge, NJ and has the professional credentials of AUDIOLOGIST (AUD). The NPI Number for Peter C Fan is 1003077405 and holds a License No. 41YA00099800 (NJ). The current practice location address for Peter C Fan is 200 Perrine RD Ste 210, Old Bridge, NJ 08857-2836 and can be reached out via phone at 914-333-5801.

Provider Profile Details

NPI Number
1003077405
Provider Name
Peter C Fan
Credential
AUDIOLOGIST (AUD)
Provider Entity Type
Individual
Gender
Male
Address
200 Perrine RD Ste 210, Old Bridge, NJ 08857-2836
Phone Number
914-333-5801
Primary Taxonomy
Audiologist · 231H00000X
Sole Proprietor
No
Provider Enumeration Date
June 19, 2008
Last Update Date
October 31, 2022
Certification Date
October 31, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Perrine RD Ste 210
Old Bridge, NJ 08857-2836
Zip
08857-2836
Phone Number
914-333-5801
Old Bridge, NJ 08857Get directions →

Provider Business Mailing Address Details

Address
200 Perrine RD Ste 210
Old Bridge, NJ 08857-2836
City
Old Bridge
State
NJ
Zip
08857-2836
Phone Number
914-333-5801

License Information

Taxonomy (1)
Audiologist · 231H00000X
License Number (2)
41YA00099800
License State (2)
NJ
Taxonomy (2)
Audiologist · 231H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Peter C Fan, AUDIOLOGIST (AUD)?

The NPI number of Dr. Peter C Fan, AUDIOLOGIST (AUD) is 1003077405. It was assigned on June 19, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Peter C Fan, AUDIOLOGIST (AUD)?

Dr. Peter C Fan, AUDIOLOGIST (AUD) is registered under the primary taxonomy Audiologist (code 231H00000X), licensed in NJ under license number 41YA00099800.

Where does Dr. Peter C Fan, AUDIOLOGIST (AUD) practice?

The practice location is 200 Perrine RD Ste 210, Old Bridge, NJ 08857-2836. The office can be reached at 914-333-5801 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003077405 directly on the NPPES registry website.

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