DR. KHANH BAO PHAN (NPI# 1871804328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871804328 |
| Entity Type | Individual |
| Full Name | DR. KHANH BAO PHAN |
| Credential | D.O. |
| Practice Address |
1651 Earl St Union NJ 07083-5531 |
| Practice Telephone | 9085919200 |
| Mailing Telephone | 9085919200 |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-06-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 25MB08718100 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619530912 | Khanh Phan | Behavior Technician | 22283 Main St, Hayward, CA 94541-4004 | 2019-04-22 |
| 1215343892 | Khanh Phan | Case Manager/Care Coordinator | 9862 Chapman Ave Ste B, Garden Grove, CA 92841-2726 | 2014-07-03 |
| 1366799637 | Khanh Phan | Pharmacist | 15614 Whittwood Ln, T2019, Whittier, CA 90603-2324 | 2012-08-06 |
| 1770867020 | Khanh Phan | Dentist | 5708 Colleyville Blvd, Ste. A, Colleyville, TX 76034-6064 | 2011-10-05 |
| 1457482697 | Khanh Phan | Rehabilitation Practitioner | 11429 Valley Blvd, El Monte, CA 91731-3229 | 2007-03-08 |
| Street Address |
1651 EARL ST |
| City | UNION |
| State | NJ |
| Zip Code | 07083-5531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535396 | Accuview Diagnostic Services Inc | Radiology | 1620 Vauxhall Road, Suite 309, Union, NJ 07083 | 2019-12-16 |
| 1487298543 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1333 Glendale Pl, Union, NJ 07083 | 2019-11-01 |
| 1578116570 | Care Assist LLC | Home Health Aide | 2333 Morris Ave., Suite C 214, Union, NJ 07083 | 2019-07-18 |
| 1902462195 | Community Access Unlimited Inc | Community/Behavioral Health | 1 Hendricks Drive, Union, NJ 07083 | 2019-05-14 |
| 1265918577 | Francesca Viola-hamilton | Social Worker | Cooperative Counseling Services, 407 Chestnut St., Union, NJ 07083 | 2018-07-19 |
| 1891285839 | Robert E. West Jr. | Social Worker | 407 Chestnut St., Union, NJ 07083 | 2018-05-15 |
| 1861916579 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 941 945 Stuyvesant Ave, Union, NJ 07083 | 2017-08-03 |
| 1740718220 | Afnan Talat | Family Medicine | 2317 Center Island, Route 22, Union, NJ 07083 | 2017-05-30 |
| 1366976953 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2202 Halsey Street, Union, NJ 07083 | 2017-04-20 |
| 1518490275 | Sabri Youssef | Physician Assistant | 855 Lehigh Avenue, Advanced Spine Surgery Center. Suite 203, Union, NJ 07083 | 2017-04-09 |
| Find all providers in zip 07083 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902338031 | Dana Reynolds | Pediatrics | 511 Clubhouse Ct, Unit 9, Union, NJ 07083-8778 | 2017-03-29 |
| 1871923342 | Primary Care Partners, LLC | Pediatrics | 1050 Galloping Hill Rd Ste 200, Union, NJ 07083-7980 | 2013-11-20 |
| 1700984366 | Kimberley Lis Barracco | Pediatrics | 407 W South St, Union, SC 29379 | 2006-09-20 |
| 1255394532 | Robin Michelle Warner | Pediatrics | 8667 Us Highway 42 Ste 300, Union, KY 41091-8759 | 2006-04-08 |
| 1215936604 | Geddy Jay Krul | Pediatrics | 381 Chestnut St, Union, NJ 07083-9430 | 2005-07-18 |
| 1811499890 | Union Medical Center | Pediatrics | 407 W South St, Union, SC 29379 | 2018-03-06 |
| 1154588325 | Union Pediatrics, Psc | Pediatrics | 8667 Us Highway 42 Ste 300, Union, KY 41091-8759 | 2008-05-16 |
| 1336335470 | Patients First Health Care LLC | Pediatrics | 97 Saint Andrews Dr, Union, MO 63084-4946 | 2007-09-21 |
| 1386865772 | Trinity Pediatrics, LLC | Pediatrics | 2333 Morris Ave, Suite B218, Union, NJ 07083-5714 | 2007-05-01 |
| 1275672610 | New Jersey Healthcare Services | Pediatrics | 2780 Morris Ave, Suite 2a, Union, NJ 07083-4852 | 2007-02-05 |
| Find all providers in UNION | ||||
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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.