DR. PHILLIP PAN MD
NPI 1972525202
Pediatrics - Neonatal-Perinatal Medicine in Niskayuna, NY

Q: What is Phillip Pan's NPI number?

The NPI number for Phillip Pan is 1972525202. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Q: What is Phillip Pan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Phillip Pan was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 24, 2006PECOS Enrolled

2210 TROY RD, NISKAYUNA, NY 12309(518) 346-9535 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 28, 2023, Aug 25, 2023 (2 updates tracked since 2023).

On this page

About Dr. Phillip Pan Md NPPES

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

DR. PHILLIP PAN MD (NPI 1972525202) is an individual neonatal-perinatal medicine provider in Niskayuna, New York, licensed in New York (233754) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Albany.

NPPES Registry Identity

NPI1972525202

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameDR. PHILLIP PANCredential: MD

Location Address2210 TROY RDNiskayuna, NY 12309-4725

Mailing Address2210 Troy RdNiskayuna, NY 12309-4725

Phone(518) 346-9535

Sole ProprietorNo

Enumeration DateJuly 24, 2006

Last NPPES UpdateSeptember 12, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2023

✔ NPI 1972525202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in NY · 233754

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

2210 TROY RD, Niskayuna, NY 12309

Open in Google Maps ↗

Secondary Practice Location 1

Location 1315 S Manning BlvdAlbany, NY 12208-1707 · Phone (518) 525-6560

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Phillip Pan 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 14

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

JOUNG KIM MD

Anesthesiology