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PETER PHAN LY
NPI 1104754381
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since May 11, 2026
240 SOUTH 40TH STREET, OFFICE OF CLINICAL AFFAIRS-S6A EVANS, PHILADELPHIA, PA 19104(215) 573-2588 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peter Phan Ly NPPES

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

PETER PHAN LY (NPI 1104754381) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1104754381
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePETER PHAN LY
Location Address240 SOUTH 40TH STREET, OFFICE OF CLINICAL AFFAIRS-S6A EVANSPhiladelphia, PA 19104-6030
Mailing Address240 South 40th Street, Office Of Clinical Affairs-s6a EvansPhiladelphia, PA 19104-6030 · (215) 573-2588
Phone(215) 573-2588
Sole ProprietorNo
Enumeration DateMay 11, 2026
NPPES CertifiedMay 10, 2026
✔ NPI 1104754381 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.
240 SOUTH 40TH STREET, Philadelphia, PA 19104
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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.

BRIANNA MARY MEARIM
Student in an Organized Health Care Education/Training Program
240 SOUTH 40TH STREET, OFFICE OF CLINICAL AFFAIRS-S6A EVANS
PHILADELPHIA, PA 19104
Philadelphia County (215) 573-2588
NATALIE NGUYEN
Student in an Organized Health Care Education/Training Program
240 SOUTH 40TH STREET, OFFICE OF CLINICAL AFFAIRS-S6A E
PHILADELPHIA, PA 19104
Philadelphia County (215) 573-2588
JULIA ENGLISH GEER
Student in an Organized Health Care Education/Training Program
240 SOUTH 40TH STREET
PHILADELPHIA, PA 19104
Philadelphia County (215) 573-2588
JIAQI ZHU
Student in an Organized Health Care Education/Training Program
240 SOUTH 40TH STREET, OFFICE OF CLINICAL AFFAIRS-S6A EVANS
PHILADELPHIA, PA 19104
Philadelphia County (215) 573-2588
MELANIE TSYRYULNIKOV
Student in an Organized Health Care Education/Training Program
240 SOUTH 40TH STREET, OFFICE OF CLINICAL AFFAIRS-S6A EVANS
PHILADELPHIA, PA 19104
Philadelphia County (215) 573-2588
JINGWEN ZHAO
Student in an Organized Health Care Education/Training Program
240 SOUTH 40TH STREET, OFFICE OF CLINICAL AFFAIRS-S6A EVANS
PHILADELPHIA, PA 19104
Philadelphia County (215) 573-2588
ALLISON SUAREZ
Student in an Organized Health Care Education/Training Program
240 SOUTH 40TH STREET, OFFICE OF CLINICAL AFFAIRS-S6A EVANS
PHILADELPHIA, PA 19104
Philadelphia County (215) 573-2588
GRANT LANDES MACELROY
Student in an Organized Health Care Education/Training Program
240 SOUTH 40TH STREET, OFFICE OF CLINICAL AFFAIRS-S6A EVANS
PHILADELPHIA, PA 19104
Philadelphia County (215) 573-2588

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 Peter Ly's NPI number?

The NPI number for Peter Ly is 1104754381. It was assigned to this individual provider in the NPPES registry on May 11, 2026.

Where is Peter Ly located?

Peter Ly practices at 240 South 40th Street Office Of Clinical Affairs-S6a Evans, Philadelphia, PA 19104. The listed phone number is (215) 573-2588.

What is Peter Ly's specialty?

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

When was this NPI record last updated?

The NPPES record for Peter Ly was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.