LUONG PHAN DPM
NPI 1144971847
Student in an Organized Health Care Education/Training Program in Utica, NY

Active since January 13, 2022
120 HOBART ST, UTICA, NY 13501(315) 798-1149 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2025, Jan 13, 2022 (2 updates tracked since 2022).

About Luong Phan Dpm NPPES

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

LUONG PHAN DPM (NPI 1144971847) is an individual student in an organized health care education/training program in Utica, New York and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1144971847
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLUONG PHANCredential: DPM
Location Address120 HOBART STUtica, NY 13501-4308
Mailing Address111 Hospital DrUtica, NY 13502-2517 · (315) 801-8534
Sole ProprietorYes
Enumeration DateJanuary 13, 2022
Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
NPI 1144971847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
120 HOBART ST, Utica, NY 13501

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.

Hospitalist
120 HOBART ST
UTICA, NY 13501
Student in an Organized Health Care Education/Training Program
120 HOBART ST
UTICA, NY 13501
Family Medicine
120 HOBART ST
UTICA, NY 13501
Family Medicine
120 HOBART ST
UTICA, NY 13501
Nurse Practitioner (Family)
120 HOBART ST
UTICA, NY 13501
Student in an Organized Health Care Education/Training Program
120 HOBART ST
UTICA, NY 13501
Emergency Medicine
120 HOBART ST
UTICA, NY 13501
Family Medicine
120 HOBART ST
UTICA, NY 13501

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 Luong Phan's NPI number?

The NPI number for Luong Phan is 1144971847. It was assigned to this individual provider in the NPPES registry on January 13, 2022.

Where is Luong Phan located?

Luong Phan practices at 120 Hobart St, Utica, NY 13501. The listed phone number is (315) 798-1149.

What is Luong Phan'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 Luong Phan was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.