Dr. Peter Fan , MD
Specialist • Saddle River, NJ
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Peter Fan has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Peter Fan, MD was a registered Specialist practicing in Saddle River, NJ. Throughout an active medical career spanning 16 years, Dr. Fan provided care at the practice location at 21 CHESTNUT RIDGE RD until profile deactivation on 2022-07-22.
Practice Location & Contact Primary Location
21 Chestnut Ridge Rd
Saddle River, NJ 074583310
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Saddle River, NJ
Practicing in Saddle River, NJ (1802 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 22, 2022
NPI status registered as active in NPPES database
Registered at 21 CHESTNUT RIDGE RD, SADDLE RIVER, NJ 074583310 (Tel: 2016460066)
Registered at 21 CHESTNUT RIDGE RD, SADDLE RIVER, NJ 074583310 (Tel: 2016460066)
Recorded as PETER FAN, M.D.
Specialist (License #MA 24646 in NJ)
First registered as active Individual Practitioner in NPPES Database.
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Mailing Address
21 Chestnut Ridge Rd
Saddle River, NJ 074583310
Phone: 2016460066
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