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

Dr. Peter C Fan, AUDIOLOGISTAUD

Individual provider Audiologist · NPI 1003077405

Dr. Peter C Fan, AUDIOLOGISTAUD is a Qualified Audiologist in Old Bridge, New Jersey. Graduated from University of Florida College of Medicine in 2010, 16 years ago. Accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
16
Trained at
University of Florida College of Medicine
Licensed in
NJ
In the registry since
2008
Specialties on file
2

Practice location Address checks out

200 Perrine Rd Ste 210
Old Bridge, NJ 08857-2836
Phone: (914) 333-5801
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 41YA00099800 (NJ)
Audiologist Taxonomy 231H00000X

Record details

NPI number1003077405
Entity typeIndividual (Type 1)
GenderMale
Credentials AUDIOLOGISTAUD
Sole proprietorNo
NPI enumeratedJune 19, 2008
Last updated in NPPESOctober 31, 2022
Certification dateOctober 31, 2022

Medicare enrollment

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

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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