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DR. JONATHAN FAN DMD
NPI 1033348776
Dentist - General Practice in Freehold, NJ

Active since July 02, 2009PECOS Enrolled
108 VILLAGE CENTER DR FL 2, FREEHOLD, NJ 07728(732) 780-2100(732) 879-0255 Get Directions Write a Review

NPPES record last updated: December 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jonathan Fan Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JONATHAN FAN DMD (NPI 1033348776) is an individual general practice provider in Freehold, New Jersey, licensed in New Jersey (22DI02429200) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Freehold.

NPPES Registry Identity

NPI1033348776
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JONATHAN FANCredential: DMD
Location Address108 VILLAGE CENTER DR FL 2Freehold, NJ 07728-2510
Mailing Address108 Village Center Dr Fl 2Freehold, NJ 07728-2510 · (732) 780-2100 · Fax (732) 879-0255
Phone(732) 780-2100
Fax(732) 879-0255
Sole ProprietorNo
Enumeration DateJuly 2, 2009
Last NPPES UpdateDecember 27, 2018
✔ NPI 1033348776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NJ · 22DI02429200
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
108 VILLAGE CENTER DR FL 2, Freehold, NJ 07728
Open in Google Maps ↗

Secondary Practice Location 1

Location 1398 Vassar DrFreehold, NJ 07728-5360 · Phone (908) 415-8782

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan Fan Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07728 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Fan's NPI number?

The NPI number for Jonathan Fan is 1033348776. It was assigned to this individual provider in the NPPES registry on July 2, 2009.

Where is Jonathan Fan located?

Jonathan Fan practices at 108 Village Center Dr Fl 2, Freehold, NJ 07728. The listed phone number is (732) 780-2100.

What is Jonathan Fan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jonathan Fan enrolled in Medicare?

Yes. Jonathan Fan is registered in the Medicare PECOS enrollment system.

What insurance does Jonathan Fan accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Jonathan Fan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathan Fan was last updated on December 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.