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

Dr. Liqi Fan, MD

Individual provider Emergency Medicine Physician · NPI 1083910830

Dr. Liqi Fan, MD is an Emergency Medicine in Elizabeth, New Jersey. Qualified in 2010, 16 years ago. Practices with Montclair Emergency Physicians LLC, an 18-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
16
Licensed in
NJ
In the registry since
2011
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

225 Williamson St
Elizabeth, NJ 07202-3625
Phone: (908) 994-5422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 25MA09230800 (NJ)

Record details

NPI number1083910830
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 26, 2011
Last updated in NPPESJune 9, 2023
Certification dateJune 9, 2023

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Montclair Emergency Physicians Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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