Yan G Fan, MD
Pathology, Hematology in Elmwood Park, New Jersey
1558571828- Practice location
- 481 Edward H Ross Drive, Elmwood Park, NJ 07407
- Phone
- 800-627-1479
- Fax
- —
- Last updated
- May 16, 2025
Yan Gao Fan is a Pathology, Hematology based in Elmwood Park, NJ. Yan Gao Fan practices in Elmwood Park, NJ and has the professional credentials of MD. The NPI Number for Yan Gao Fan is 1558571828 and holds a License No. 01096552A (IN). The current practice location address for Yan Gao Fan is 481 Edward H Ross Drive, Elmwood Park, NJ 07407 and can be reached out via phone at 800-627-1479.
Provider Profile Details
- NPI Number
- 1558571828
- Provider Name
- Yan Gao Fan
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 481 Edward H Ross Drive, Elmwood Park, NJ 07407
- Phone Number
- 800-627-1479
- Primary Taxonomy
- Pathology, Hematology · 207ZH0000X
- Sole Proprietor
- No
- Other Names
- Dr. Yan Gao, MD (Former Name)
- Provider Enumeration Date
- May 23, 2007
- Last Update Date
- May 16, 2025
- Certification Date
- May 16, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 481 Edward H Ross Drive
Elmwood Park, NJ 07407 - City
- Elmwood Park
- State
- New Jersey
- Zip
- 07407
- Phone Number
- 800-627-1479
Provider Business Mailing Address Details
- Address
- 481 Edward H Ross Drive
Elmwood Park, NJ 07407 - City
- Elmwood Park
- State
- NJ
- Zip
- 07407
- Phone Number
- 800-627-1479
License Information
- License Number (1)
- 01096552A
- License State (1)
- IN
- Taxonomy (1)
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X
- License Number (2)
- 040589
- License State (2)
- CT
- Taxonomy (2)
- Pathology, Hematology · 207ZH0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Yan G Fan, MD?
The NPI number of Yan G Fan, MD is 1558571828. It was assigned on May 23, 2007 and is currently active in the NPPES registry.
What is the specialty of Yan G Fan, MD?
Yan G Fan, MD is registered under the primary taxonomy Pathology, Hematology (code 207ZH0000X), licensed in IN under license number 01096552A.
Where does Yan G Fan, MD practice?
The practice location is 481 Edward H Ross Drive, Elmwood Park, NJ 07407. The office can be reached at 800-627-1479 (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 1558571828 directly on the NPPES registry website.