Peter C. Fan, AUDIOLOGIST (AUD)
NPI 1003077405ActiveIndividual· Audiologist· Old Bridge, NJ
Audiologist (AUDIOLOGIST (AUD)) in Old Bridge, New Jersey, trained at University of Florida College of Medicine (class of 2010). Medicare paid $3,578 for services to 53 patients in 2024.
Overview
| NPI | 1003077405 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AUDIOLOGIST (AUD) |
| Sole proprietor | No |
| NPI issued | Jun 19, 2008 |
| Last updated in NPPES | Oct 31, 2022 |
| Certified by provider | Oct 31, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | 41YA00099800 | NJ |
| Audiologist | 231H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 53 |
|---|---|
| Services billed | 127 across 4 procedure codes |
| Paid by Medicare | $3,578 |
Education and affiliations
| Medical school | University of Florida College of Medicine |
|---|---|
| Graduation year | 2010 |
| Medicare specialty | Qualified Audiologist |
Other Audiologist providers in Old Bridge
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- 1598920787
- 1780501544