Benjamin Fan, PT, DPT
Physical Therapist in Lake Como, New Jersey
1932561875- Practice location
- 1719 Main Street, Lake Como, NJ 07719
- Phone
- 732-894-9200
- Fax
- —
- Last updated
- March 21, 2016
Benjamin Fan is a Physical Therapist based in Lake Como, NJ. Benjamin Fan practices in Lake Como, NJ and has the professional credentials of PT, DPT. The NPI Number for Benjamin Fan is 1932561875 and holds a License No. 40QA01655100 (NJ). The current practice location address for Benjamin Fan is 1719 Main Street, Lake Como, NJ 07719 and can be reached out via phone at 732-894-9200.
Provider Profile Details
- NPI Number
- 1932561875
- Provider Name
- Benjamin Fan
- Credential
- PT, DPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1719 Main Street, Lake Como, NJ 07719
- Phone Number
- 732-894-9200
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 21, 2016
- Last Update Date
- March 21, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1719 Main Street
Lake Como, NJ 07719 - City
- Lake Como
- State
- New Jersey
- Zip
- 07719
- Phone Number
- 732-894-9200
Provider Business Mailing Address Details
- Address
- 16 Overhill Road
East Brunswick, NJ 08816 - City
- East Brunswick
- State
- NJ
- Zip
- 08816
- Phone Number
- 732-543-4413
License Information
- License Number
- 40QA01655100
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · 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 Benjamin Fan, PT, DPT?
The NPI number of Benjamin Fan, PT, DPT is 1932561875. It was assigned on March 21, 2016 and is currently active in the NPPES registry.
What is the specialty of Benjamin Fan, PT, DPT?
Benjamin Fan, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01655100.
Where does Benjamin Fan, PT, DPT practice?
The practice location is 1719 Main Street, Lake Como, NJ 07719. The office can be reached at 732-894-9200 (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 1932561875 directly on the NPPES registry website.