TINA MEI FAN M.D.
NPI 1548418437
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Q: What is Tina Fan's NPI number?

The NPI number for Tina Fan is 1548418437. It was assigned to this individual provider in the NPPES registry on September 4, 2008.

Q: What is Tina Fan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tina Fan was last updated on September 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since September 04, 2008

MEDICAL STAFF OFFICE T14, STONY BROOK UNIVERSITY HOSPITAL, STONY BROOK, NY 11794(631) 444-2754(631) 444-6031 Get Directions Write a Review

NPPES record last updated: September 4, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tina Mei Fan M.d. NPPES

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

TINA MEI FAN M.D. (NPI 1548418437) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1548418437

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameTINA MEI FANCredential: M.D.

Location AddressMEDICAL STAFF OFFICE T14, STONY BROOK UNIVERSITY HOSPITALStony Brook, NY 11794-7148

Mailing AddressMedical Staff Office T14, Stony Brook University HospitalStony Brook, NY 11794-7148 · (631) 444-2754 · Fax (631) 444-6031

Phone(631) 444-2754

Fax(631) 444-6031

Sole ProprietorNo

Enumeration DateSeptember 4, 2008

✔ NPI 1548418437 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.

MEDICAL STAFF OFFICE T14, Stony Brook, NY 11794

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SOFIA BHATTACHARYA MD

Internal Medicine

MEDICAL STAFF OFFICE T14, STONY BROOK UNIVERSITY HOSPITAL
STONY BROOK, NY 11794

Suffolk County (631) 444-2754

DR. LISA C. CHANGCHIEN M.D.

Student in an Organized Health Care Education/Training Program

MEDICAL STAFF OFFICE T14, STONY BROOK UNIVERSITY HOSPITAL
STONY BROOK, NY 11794

Suffolk County (631) 444-2754

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 Tina Fan's NPI number?

The NPI number for Tina Fan is 1548418437. It was assigned to this individual provider in the NPPES registry on September 4, 2008.

Where is Tina Fan located?

Tina Fan practices at Medical Staff Office T14 Stony Brook University Hospital, Stony Brook, NY 11794. The listed phone number is (631) 444-2754.

What is Tina 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 Tina Fan was last updated on September 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.