| Dapeng Fan, MD | |
|
355 Bard Ave, Staten Island, NY 10310-1664 | |
| (718) 818-2843 | |
| (718) 818-4709 |
| Full Name | Dapeng Fan |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 38 Years |
| Location | 355 Bard Ave, Staten Island, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619116597 | NPI | - | NPPES |
| 253526 | Other | NY | THE UNIVERSITY OF THE STATE OF NEW YORK -EDUCATION DEPARTMENT |
| MD436206 | Other | PA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 253526 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Richmond University Medical Center | Staten island, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Todt Hill Endoscopy, P.c. | 4981870888 | 2 |
| North American Partners In Anesthesia Llp | 7719885771 | 480 |
| Entity Name | North American Partners In Anesthesia Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649264706 PECOS PAC ID: 7719885771 Enrollment ID: O20040108000176 |
| Entity Name | Todt Hill Endoscopy, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538441902 PECOS PAC ID: 4981870888 Enrollment ID: O20111227000187 |
| Entity Name | Fan Medicine Consultant Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780156711 PECOS PAC ID: 5092053397 Enrollment ID: O20190212001889 |
| Mailing Address | Practice Location Address |
|---|---|
| Dapeng Fan, MD 1 Beach 105th St, Apt. 1x, Rockaway Park, NY 11694-2695 Ph: (201) 804-2800 | Dapeng Fan, MD 355 Bard Ave, Staten Island, NY 10310-1664 Ph: (718) 818-2843 |
David K Chen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9000 | |
Dr. Michael Costes, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 375 Seguine Ave, Staten Island, NY 10309 Phone: 718-226-2000 | |
Carlos Alcala, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-2000 | |
Dr. M. Joycelynne Y. Tecson, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2348 Richmond Rd, Staten Island, NY 10306 Phone: 718-987-3338 Fax: 718-667-3043 | |
Jonathan Li, Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9290 | |
Dr. Robert Walter Bohnenberger, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 355 Bard Ave, Staten Island, NY 10310 Phone: 718-818-3298 | |
Dr. Shasky Kevin Charles, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1298 Richmond Rd, Staten Island, NY 10304 Phone: 203-676-9195 |