Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andy Fan, MD

Individual provider Gastroenterology Physician · NPI 1730107327

Andy Fan, MD is a Gastroenterology in Great Neck, New York. Graduated from State University of New York Downstate Medical Center in 2000, 26 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
26
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

488 Great Neck Rd Ste 300
Great Neck, NY 11021-4308
Phone: (516) 482-6747
Fax: (516) 482-4851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 239285 (NY)

Record details

NPI number1730107327
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESMarch 29, 2021
Certification dateMarch 29, 2021
Mailing address488 Great Neck Rd Ste 300, Great Neck, NY 11021-4308

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2000 (26 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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