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NGOC AN PHAN, PC
NPI 1205058781
Internal Medicine in Philadelphia, PA

Active since May 03, 2007CLIA 39D0201888 · Waiver
909 S. 11TH STREET, PHILADELPHIA, PA 19147(215) 923-6080(215) 923-2082 Get Directions Write a Review

NPPES record last updated: June 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ngoc An Phan, Pc NPPES

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

NGOC AN PHAN, PC (NPI 1205058781) is a healthcare organization registered as an internal medicine in Philadelphia, Pennsylvania and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Ngoc An Phan, President, as its authorized official.

NPPES Registry Identity

NPI1205058781
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNGOC AN PHAN, PC
Location Address909 S. 11TH STREETPhiladelphia, PA 19147-3701
Mailing Address909 S. 11th StreetPhiladelphia, PA 19147-3701 · (215) 923-6080 · Fax (215) 923-2082
Phone(215) 923-6080
Fax(215) 923-2082
Organization SubpartNo
Authorized OfficialNgoc An PhanPresident · (215) 923-6080
Enumeration DateMay 3, 2007
Last NPPES UpdateJune 13, 2012
✔ NPI 1205058781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD039037L
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
909 S. 11TH STREET, Philadelphia, PA 19147
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Other Identifiers 3

Medicare UPINB41655PA
Medicare ID-Type Unspecified428533PA
Medicaid09000171PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0201888

Ngoc An Phan MD PC · Philadelphia, PA
Active · expires Aug 31, 2026
CLIA Number39D0201888
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorNgoc An Phan MD
Laboratory Phone(215) 923-6080
Laboratory LocationNgoc An Phan MD PC909 S 11th, Philadelphia, PA 19147
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ngoc An Phan, PC's NPI number?

The NPI number for Ngoc An Phan, PC is 1205058781. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Ngoc An Phan, PC located?

Ngoc An Phan, PC is located at 909 S. 11th Street, Philadelphia, PA 19147. The listed phone number is (215) 923-6080.

What is Ngoc An Phan, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Ngoc An Phan, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0201888) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ngoc An Phan, PC was last updated on June 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.