DR. YAN GAO FAN (NPI# 1558571828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558571828 |
| Entity Type | Individual |
| Full Name | DR. YAN GAO FAN |
| Other Name | DR. YAN GAO |
| Credential | M.D. |
| Practice Address |
481 Edward H Ross Drive Elmwood Park NJ 07407 |
| Practice Telephone | 8006271479 |
| Mailing Telephone | 8006271479 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZH0000X |
Pathology Specialization: Hematology |
040589 | CT | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Watson Blvd, Stratford, CT 066157127 | 2033804566 | 2033814004 |
| Street Address |
481 EDWARD H ROSS DRIVE |
| City | ELMWOOD PARK |
| State | NJ |
| Zip Code | 07407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042406 | Diana Marie Monteleon | Registered Nurse | 75 Miller Avenue, Elmwood Park, NJ 07407 | 2020-01-24 |
| 1427569102 | Fastcare Medical Transportation | Ambulance | 62 Philip Ave, Elmwood, NJ 07407 | 2017-10-20 |
| 1376078642 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 59 Boulevard, Elmwood Village Apartments, Elmwood Park, NJ 07407 | 2017-04-25 |
| 1457885048 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Donor Avenue, Apt A, Elmwood Park, NJ 07407 | 2017-04-20 |
| 1295143196 | Juan Quesada | Student in an Organized Health Care Education/Training Program | 21 Craig Court, Elmwood Park, NJ 07407 | 2014-07-24 |
| 1548546492 | Pinnacle Mri Group, LLC | Clinic/Center | 97 Linden Avenue, Elmwood Park, NJ 07407 | 2011-10-24 |
| 1598914921 | Aaron David Brisman | Dentist | 511 River Drive, Elmwood Park, NJ 07407 | 2008-09-10 |
| 1922267004 | Borough of Elmwood Park | Public Health or Welfare | 182 Market Street, Health Department, Elmwood Park, NJ 07407 | 2008-06-04 |
| 1043477599 | Deborah W. Buzaid | Pathology | 481 Edward H. Ross Drive, Elmwood Park, NJ 07407 | 2008-05-21 |
| 1891811378 | Jeffrey Paul Powell | Dentist | 248 Palsa Ave, Elmwood Park, NJ 07407 | 2007-03-22 |
| Find all providers in zip 07407 | ||||
| Taxonomy Code | 207ZH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Hematology |
| A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912342361 | Rajendra Persad | Pathology | 487 Edward H Ross Dr, Elmwood Park, NJ 07407-3127 | 2013-04-29 |
| 1013112739 | Po-shing Lee | Pathology | 481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118 | 2007-06-21 |
| 1871798595 | Jonathan W. Juco | Pathology | 481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118 | 2007-06-21 |
| 1700926094 | Wilfrid Fehrle | Pathology | 481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118 | 2007-02-07 |
| 1578603817 | Pushpa Gupta | Pathology | 481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118 | 2007-02-07 |
| 1689714768 | Liliya Feldman | Pathology | 481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118 | 2007-02-07 |
| 1700926912 | Marsha Goldstein | Pathology | 481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649565987 | Rahul Gurbux Matnani | Pathology | 201 Route 17 Fl 2, Rutherford, NJ 07070 | 2011-06-15 |
| 1659662856 | Jeffry Brian Lawrence | Pathology | 3 Pond View Rd, Chester, NJ 07930-3124 | 2011-04-22 |
| 1124340864 | Cheng Ding | Pathology | 712 23rd St Apt 2, Union City, NJ 07087-2113 | 2010-02-22 |
| 1831282334 | Bader Maria Pedemonte | Pathology | 100 Madison Ave Morristown Memorial Hospital, Cancer Center Room C4501, Morristown, NJ 07960 | 2006-10-02 |
| 1467898049 | St. Luke's Warren Physician Group, PC | Pathology | 185 Roseberry St, Phillipsburg, NJ 08865-1690 | 2013-05-22 |
| 1306112628 | Payal Manish Sojitra | Pathology | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2012-03-30 |
| 1205070471 | Sinisa Ivelja | Pathology | 530 New Brunswick Ave, Perth Amboy, NJ 08861-3654 | 2009-04-30 |
| 1306086152 | Qing Wang | Pathology | 150 Bergen St, Newark, NJ 07103-2496 | 2009-03-05 |
| 1982858361 | Dharmishtha Jayesh Kanuga | Pathology | 6 Thistle Ln, Holmdel, NJ 07733-1200 | 2008-11-11 |
| 1912171448 | Asima Arslan | Pathology | 1 Plainsboro Rd, Plainsboro, NJ 08536-1913 | 2008-04-16 |
| Find all providers with the same taxonomy | ||||
| City | ELMWOOD PARK |
| Zip Code | 07407 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.