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

MS. Lydia Pan, PA

Individual provider Physician Assistant · NPI 1821654336

MS. Lydia Pan, PA is a Physician Assistant in Hoboken, New Jersey. Qualified in 2019, 7 years ago. Practices with Doa Professional Corporation, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
7
Licensed in
NJ
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

308 Willow Ave
Hoboken, NJ 07030-3808
Phone: (626) 456-2358
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2570 48th St, Sacramento, CA 95817-1541 — (916) 734-2145

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (NJ)

Record details

NPI number1821654336
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 10, 2019
Last updated in NPPESDecember 17, 2019
Certification dateDecember 17, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Doa Professional Corporation — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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