DANDAN GUAN PAC
NPI 1629465158
Physician Assistant - Medical in New York, NY

Active since April 22, 2015PECOS EnrolledAccepts Medicare Assignment
132 BOWERY FRNT 1, NEW YORK, NY 10013(718) 864-0163 Get Directions Write a Review

NPPES record last updated: April 22, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dandan Guan Pac NPPES

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

DANDAN GUAN PAC (NPI 1629465158) is an individual medical provider in New York, New York, licensed in New York (018578) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (2015).

NPPES Registry Identity

NPI1629465158
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameDANDAN GUANCredential: PAC
Location Address132 BOWERY FRNT 1New York, NY 10013-4297
Mailing Address5408 8th Ave # 3fBrooklyn, NY 11220-3230 · (718) 864-0163
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2015
Enumeration DateApril 22, 2015
NPI 1629465158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 018578
132 BOWERY FRNT 1, New York, NY 10013

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dandan Guan Pac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648716803
PECOS Enrollment IDI20240910002067
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.

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 Dandan Guan's NPI number?

The NPI number for Dandan Guan is 1629465158. It was assigned to this individual provider in the NPPES registry on April 22, 2015.

Where is Dandan Guan located?

Dandan Guan practices at 132 Bowery Frnt 1, New York, NY 10013. The listed phone number is (718) 864-0163.

What is Dandan Guan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Dandan Guan enrolled in Medicare?

Yes. Dandan Guan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Dandan Guan was last updated on April 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.