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AVIAN PHAM MD
NPI 1295355410
Student in an Organized Health Care Education/Training Program in Flushing, NY

Active since April 17, 2020PECOS Enrolled
5645 MAIN ST, FLUSHING, NY 11355(703) 949-8279 Get Directions Write a Review

NPPES record last updated: April 17, 2020. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Avian Pham Md NPPES

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

AVIAN PHAM MD (NPI 1295355410) is an individual student in an organized health care education/training program in Flushing, New York and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295355410
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameAVIAN PHAMCredential: MD
Location Address5645 MAIN STFlushing, NY 11355-5045
Mailing Address120 Byron AveHarrisburg, PA 17109-3101 · (703) 949-8279
Phone(703) 949-8279
Sole ProprietorNo
Enumeration DateApril 17, 2020
NPPES CertifiedApril 17, 2020
✔ NPI 1295355410 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.
5645 MAIN ST, Flushing, NY 11355
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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)

Avian Pham Md 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.

ANA M GHELECHKHANI PA
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2608
PEDRO XAVIER PALACIOS PA-C
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-1000
DR. OSCAR ROLDAN
Anesthesiology
5645 MAIN ST
FLUSHING, NY 11355
Queens County (646) 962-9930
ALEXIS TORRES RODRIGUEZ
Internal Medicine (Infectious Disease)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-1507
DR. BRENT HOCHSTEIN DO
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
DR. PRINCIE NANDINI ROY MD
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
ERIC CHROSTOWSKI
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
PETER JAESUNG JO
Nurse Practitioner (Family)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (917) 340-4637

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 Avian Pham's NPI number?

The NPI number for Avian Pham is 1295355410. It was assigned to this individual provider in the NPPES registry on April 17, 2020.

Where is Avian Pham located?

Avian Pham practices at 5645 Main St, Flushing, NY 11355. The listed phone number is (703) 949-8279.

What is Avian Pham's specialty?

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

Is Avian Pham enrolled in Medicare?

Yes. Avian Pham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Avian Pham was last updated on April 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.