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JIAWEN FAN
NPI 1104796325
Student in an Organized Health Care Education/Training Program in New York, NY

Active since November 11, 2025
345 E 24TH ST, NEW YORK, NY 10010(212) 998-9800 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jiawen Fan NPPES

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

JIAWEN FAN (NPI 1104796325) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1104796325
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameJIAWEN FAN
Location Address345 E 24TH STNew York, NY 10010-4020
Mailing Address345 E 24th StNew York, NY 10010-4020 · (212) 998-9800
Phone(212) 998-9800
Sole ProprietorNo
Enumeration DateNovember 11, 2025
NPPES CertifiedNovember 11, 2025
✔ NPI 1104796325 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.
345 E 24TH ST, New York, NY 10010
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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.

KEITH CASSAR
Dentist (General Practice)
345 E 24TH ST
NEW YORK, NY 10010
New York County (212) 998-9800
STEPHEN TIMMY CHAN
Student in an Organized Health Care Education/Training Program
345 E 24TH ST
NEW YORK, NY 10010
New York County (212) 998-9800
RAMTIN VAFAMANSOURI
Dentist
345 E 24TH ST
NEW YORK, NY 10010
New York County (212) 998-9800
LEENA MAHMOODA MANZOOR
Student in an Organized Health Care Education/Training Program
345 E 24TH ST
NEW YORK, NY 10010
New York County (212) 998-9800
DR. AKHIL SAINI DDS
Dentist
345 E 24TH ST
NEW YORK, NY 10010
New York County (212) 998-9800
JONGWOOK CHA
Student in an Organized Health Care Education/Training Program
345 E 24TH ST
NEW YORK, NY 10010
New York County (212) 998-9800
MARK DINH
Student in an Organized Health Care Education/Training Program
345 E 24TH ST
NEW YORK, NY 10010
New York County (212) 998-9800
YOONCHANG KIM
Student in an Organized Health Care Education/Training Program
345 E 24TH ST
NEW YORK, NY 10010
New York County (212) 998-9800

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 Jiawen Fan's NPI number?

The NPI number for Jiawen Fan is 1104796325. It was assigned to this individual provider in the NPPES registry on November 11, 2025.

Where is Jiawen Fan located?

Jiawen Fan practices at 345 E 24th St, New York, NY 10010. The listed phone number is (212) 998-9800.

What is Jiawen Fan'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 Jiawen Fan was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.