Benjamin Fan, PT, DPT
NPI 1932561875ActiveIndividual· Physical Therapist· Lake Como, NJ
Physical Therapist (PT, DPT) in Lake Como, New Jersey, licensed in NJ, with an NPI issued in March 2016.
Overview
| NPI | 1932561875 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | Yes |
| NPI issued | Mar 21, 2016 |
| Last updated in NPPES | Mar 21, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 40QA01655100 | NJ |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physical Therapist providers in Lake Como
- 1649561812
- 1811359219
- 1255972600
- 1447615364
- 1255989596
- 1528508041
- 1316548753
- 1942621933
- 1235798646
- 1841709789
- 1043794407
- 1851956403