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DR. PHILIP PANG M.D.
NPI 1053784827
Student in an Organized Health Care Education/Training Program in New Haven, CT

Active since November 02, 2015PECOS Enrolled
333 CEDAR ST, BOARDMAN 204, NEW HAVEN, CT 06510(475) 209-6868 Get Directions Write a Review

NPPES record last updated: November 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Philip Pang M.d. NPPES

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

DR. PHILIP PANG M.D. (NPI 1053784827) is an individual student in an organized health care education/training program in New Haven, Connecticut and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053784827
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. PHILIP PANGCredential: M.D.
Location Address333 CEDAR ST, BOARDMAN 204New Haven, CT 06510-3206
Mailing Address333 Cedar St, Boardman 204New Haven, CT 06510-3206 · (475) 209-6868
Phone(475) 209-6868
Sole ProprietorNo
Enumeration DateNovember 2, 2015
✔ NPI 1053784827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
333 CEDAR ST, New Haven, CT 06510
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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. Philip Pang M.d. 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRIAN CHRISTOPHER CAMBI M.D.
Internal Medicine (Interventional Cardiology)
333 CEDAR ST, DCB 3
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-4129
MATTHEW JOSEPH MCCONNELL M.D.
Internal Medicine (Gastroenterology)
333 CEDAR ST, YNHH INTERNAL MEDICINE-GI,SECTION OF DIGESTIVE DISEASES
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-7012
DR. SRI SMITHA KANAPARTHY M.D.
Anesthesiology (Pediatric Anesthesiology)
333 CEDAR ST, TMP 3
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-2802
SUNDES KAZMIR M.D.
Student in an Organized Health Care Education/Training Program
333 CEDAR ST, YALE-NEW HAVEN HOSPITAL DEPARTMENT OF PEDIATRICS
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-1947
ANASTASIA KOPTELOVA MD
Anesthesiology
333 CEDAR ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242
ROBERT MCNAMARA MD
Internal Medicine (Cardiovascular Disease)
333 CEDAR ST, FMP 3
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-4127
DR. BRANDI PARKER COTTON APRN
Nurse Practitioner (Psychiatric/Mental Health)
333 CEDAR ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 432-1333
SARAH ELIZABETH SCHELLHORN MD
Internal Medicine (Medical Oncology)
333 CEDAR ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-4095

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 Philip Pang's NPI number?

The NPI number for Philip Pang is 1053784827. It was assigned to this individual provider in the NPPES registry on November 2, 2015.

Where is Philip Pang located?

Philip Pang practices at 333 Cedar St Boardman 204, New Haven, CT 06510. The listed phone number is (475) 209-6868.

What is Philip Pang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Philip Pang enrolled in Medicare?

Yes. Philip Pang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Philip Pang was last updated on November 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.