MS. LYDIA PAN (NPI# 1821654336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821654336 |
| Entity Type | Individual |
| Full Name | MS. LYDIA PAN |
| Credential | PA |
| Practice Address |
308 Willow Ave Hoboken NJ 07030-3808 |
| Mailing Address |
1301 Schindler Dr Aberdeen NJ 07747-3752 |
| Practice Telephone | 6264562358 |
| Mailing Telephone | 6264562358 |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2570 48th St, Sacramento, CA 958171541 | 9167342145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114054426 | Lydia Pan | Optometrist | 4299 Meridian St, Bellingham, WA 98226-6475 | 2007-02-27 |
| Street Address |
308 WILLOW AVE |
| City | HOBOKEN |
| State | NJ |
| Zip Code | 07030-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780682369 | Donna M. Mercado | Emergency Medicine | 308 Willow Ave, Hoboken, NJ 07030-3808 | 2005-07-08 |
| 1780205575 | Amanpreet Kaur | Student in an Organized Health Care Education/Training Program | 308 Willow Ave, Hoboken, NJ 07030-3808 | 2020-05-03 |
| 1770104887 | Lia Nadine Cesar | Student in an Organized Health Care Education/Training Program | 308 Willow Ave, Hoboken, NJ 07030-3808 | 2020-04-29 |
| 1861013112 | Apoorva Reddy | Student in an Organized Health Care Education/Training Program | 308 Willow Ave, Hoboken, NJ 07030-3808 | 2020-04-28 |
| 1134740467 | Sheenay Kendra Pryce | Student in an Organized Health Care Education/Training Program | 308 Willow Ave, Hoboken, NJ 07030-3808 | 2020-04-28 |
| 1992326342 | Nilufar Godin | Student in an Organized Health Care Education/Training Program | 308 Willow Ave, Hoboken, NJ 07030-3808 | 2020-04-27 |
| 1346860798 | Adelynn Renee Vadrar | Student in an Organized Health Care Education/Training Program | 308 Willow Ave, Hoboken, NJ 07030-3808 | 2020-04-24 |
| 1609496041 | Sylvia Bertha Ngina Mwanzia | Student in an Organized Health Care Education/Training Program | 308 Willow Ave, Hoboken, NJ 07030-3808 | 2020-04-24 |
| 1134749088 | Yvonne Elaine Baumrucker | Student in an Organized Health Care Education/Training Program | 308 Willow Ave, Hoboken, NJ 07030-3808 | 2020-04-21 |
| 1407476344 | John Elmy Seha | Student in an Organized Health Care Education/Training Program | 308 Willow Ave, Hoboken, NJ 07030-3808 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359071 | Silvia Ramirez Quiroz | Social Worker | 63a Eighth Street, Ground Floor, Hoboken, NJ 07030 | 2020-09-01 |
| 1629600176 | Robin Shamburg | Counselor | 5 Church Towers, Apt 8a, Hoboken, NJ 07030 | 2020-02-12 |
| 1083254809 | Rohan Chabra | Pharmacist | 101-105 Washington Street, Hoboken, NJ 07030 | 2020-01-09 |
| 1659921047 | Ashley Papa | Social Worker | 63rd 8th Street, Hoboken, NJ 07030 | 2019-09-17 |
| 1538621305 | Prohealth Riverside Dental, LLC | Dentist | 1425 Bloomfield Street, Hoboken, NJ 07030 | 2019-04-02 |
| 1639634470 | Progressive Option Support Services | Behavioral Analyst | 221 River Street 9th Floor, Hoboken, NJ 07030 | 2019-02-06 |
| 1164995189 | Luisa Fernanda Alzate Cobo | Occupational Therapy Assistant | 15 Church Towers, 5g, Hoboken, NJ 07030 | 2019-01-03 |
| 1588147821 | Melissa Ann Ronga | Social Worker | Mary Eliza Mahoney Health Center-394 University Ave., Newark, NJ 07030 | 2018-09-12 |
| 1578040952 | Kerry R Pitter | Psychologist | 221 River Street, 9th Floor, Hoboken, NJ 07030 | 2018-07-27 |
| 1265949416 | Ariel Mayer | Acupuncturist | 51 Newark Street, 203, Hoboken, NJ 07030 | 2018-01-09 |
| Find all providers in zip 07030 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578905352 | Angela S Monterosso | Physician Assistant | 79 Hudson St Ste 700, Hoboken, NJ 07030-5642 | 2013-07-23 |
| 1174162200 | Chelsea Fletcher | Physician Assistant | 308 Willow Ave, Hoboken, NJ 07030-3808 | 2020-01-06 |
| 1811329964 | Nathalie Vignier | Physician Assistant | 308 Willow Ave, Hoboken, NJ 07030-3808 | 2013-07-31 |
| 1710256425 | Heather Kotuski | Physician Assistant | 308 Willow Ave, Hoboken, NJ 07030-3808 | 2011-12-26 |
| 1730398140 | Todd Lawrence Newman | Physician Assistant | 2 Hudson Pl, Hoboken, NJ 07030-5594 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528163 | Paul J Lamartina | Physician Assistant | 1640 Highway 88 Ste 201, Brick, NJ 08724-3068 | 2020-11-05 |
| 1912507641 | Katherine Badecker | Physician Assistant | 30 Beams Ter, Manasquan, NJ 08736-2905 | 2020-10-30 |
| 1619577715 | Erin Kathryn Schlegel | Physician Assistant | 14 Timmons Hill Dr, Millstone Twp, NJ 08535-9307 | 2020-10-28 |
| 1235738006 | Amanda Kwartemaah Osei | Physician Assistant | 2 Colonial Sq, Middletown, NJ 07748-3548 | 2020-10-22 |
| 1972102770 | Vanesa Kodra | Physician Assistant | 1590 Anderson Ave Apt 2j, Fort Lee, NJ 07024-2707 | 2020-10-22 |
| 1366040750 | Gregory Joseph Salamon | Physician Assistant | 221 Belaire Ter, Mount Laurel, NJ 08054-2703 | 2020-10-16 |
| 1861099145 | Nathalie Jaqueline Rivera | Physician Assistant | 555 Ramapo Valley Rd, Oakland, NJ 07436-2817 | 2020-10-08 |
| 1710584222 | Shivam G. Patel | Physician Assistant | 207 Gambocz Ct, Monmouth Junction, NJ 08852-2167 | 2020-10-07 |
| 1932706579 | Michelle Rose Maddatu | Physician Assistant | 742 Durham Ter, Brick, NJ 08724-1064 | 2020-10-07 |
| 1154928737 | Jarna Patel | Physician Assistant | 11 Barley Ct, Plainsboro, NJ 08536-3100 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
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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.