Active NPIIndividual providerSole proprietor

Dr. Liqi Fan, MD

Emergency Medicine in Elizabeth, New Jersey

NPI Number1083910830
Practice location
225 Williamson St, Elizabeth, NJ 07202-3625
Fax
—
Last updated
June 9, 2023

Liqi Fan is an Emergency Medicine based in Elizabeth, NJ. Liqi Fan practices in Elizabeth, NJ and has the professional credentials of MD. The NPI Number for Liqi Fan is 1083910830 and holds a License No. 25MA09230800 (NJ). The current practice location address for Liqi Fan is 225 Williamson St, Elizabeth, NJ 07202-3625 and can be reached out via phone at 908-994-5422.

Provider Profile Details

NPI Number
1083910830
Provider Name
Liqi Fan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
225 Williamson St, Elizabeth, NJ 07202-3625
Phone Number
908-994-5422
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 26, 2011
Last Update Date
June 9, 2023
Certification Date
June 9, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
225 Williamson St
Elizabeth, NJ 07202-3625
Zip
07202-3625
Phone Number
908-994-5422
Elizabeth, NJ 07202Get directions →

Provider Business Mailing Address Details

Address
17 Warner RD
Maplewood, NJ 07040-2010
City
Maplewood
State
NJ
Zip
07040-2010
Phone Number
860-869-7642

License Information

License Number
25MA09230800
License State
NJ
Taxonomy
Emergency Medicine · 207P00000X · 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. Liqi Fan, MD?

The NPI number of Dr. Liqi Fan, MD is 1083910830. It was assigned on January 26, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Liqi Fan, MD?

Dr. Liqi Fan, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in NJ under license number 25MA09230800.

Where does Dr. Liqi Fan, MD practice?

The practice location is 225 Williamson St, Elizabeth, NJ 07202-3625. The office can be reached at 908-994-5422 (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 1083910830 directly on the NPPES registry website.

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