FANG-YU SU (NPI# 1619562543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619562543 |
| Entity Type | Individual |
| Full Name | FANG-YU SU |
| Gender | Female |
| Credential | DMD |
| Practice Address | 3223 N Broad St Philadelphia PA 19140-5007 |
| Practice Telephone | 2155313603 |
| Mailing Address | 248 Race St Apt Rear Philadelphia PA 19106-2063 |
| Mailing Telephone | 2155313603 |
| Certification Date | 2021-03-03 |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2021-03-03 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| N | 1223P0700X | Dentist Specialization: Prosthodontics | 019.032873 | IL | Dental Providers | |
| N | 1223P0700X | Dentist Specialization: Prosthodontics | 12013481A | IN | Dental Providers | |
| Y | 1223P0700X | Dentist Specialization: Prosthodontics | RFD000042 | PA | Dental Providers |
| Endpoint Type | Endpoint | Affiliation | Affiliation Address | Use | Content |
|---|---|---|---|---|---|
| Direct Messaging Address | fang-yu.su@temple.edu (School email) | 3223 N Broad St, Philadelphia, PA 191405007 | Direct | Other Philadelphia |
| Street Address | 3223 N BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19140-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313357 | Amir Maki | Dentist | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2020-07-21 |
| 1386252070 | Maria Jun | Dentist · Endodontics | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2020-07-19 |
| 1407464423 | Ping Wang | Dentist · General Practice | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2020-07-15 |
| 1104450535 | Vladimir Flys | Dentist · General Practice | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2020-02-25 |
| 1366090094 | Nicholas Bizzaro | Dentist · General Practice | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2019-08-27 |
| 1619537743 | Thomas Adel | Student in an Organized Health Care Education/Training Program | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2019-06-20 |
| 1972163897 | Divya Trikannad | Student in an Organized Health Care Education/Training Program | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2019-06-13 |
| 1588221717 | Joseph Leonard Mustazza | Dentist · Periodontics | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2019-05-22 |
| 1790341048 | Gregory Ramirez | Student in an Organized Health Care Education/Training Program | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2019-05-13 |
| 1073074365 | Mustafa A Badi | Dentist | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2019-03-28 |
| Find all providers in the same address | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013308279 | Daniel Ward Boston · Daniel Boston | Dentist | 3223 North Broad Street, Temple University Kornberg School of Dentistry, Philadelphia, PA 19140-5007 | 2015-02-10 |
| 1649566738 | Temple University Kornberg School of Dentistry Community Dental Clinic | Clinic/Center · Dental | 3223 N. Broad St., Philadelphia, PA 19140-5007 | 2011-06-27 |
| 1790917243 | Temple University of The Commonwealth System of Higher Education · Temple Foot and Ankle Institute | Podiatrist · Foot & Ankle Surgery | 3223 N. Broad Street, Suite 150, Philadelphia, PA 19140-5007 | 2009-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245822055 | Christie Diveterano | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3401 N. Broad Street, Philadelphia, PA 19140 | 2021-02-03 |
| 1225640519 | Desirea Grant | Registered Nurse · Home Health | 2000 W. Venango Street, Phila, PA 19140 | 2020-08-19 |
| 1861019507 | Juan Bedoya | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140 | 2020-06-29 |
| 1740807718 | Vilmarie Torres | Homemaker | 149 W Luray Street, 1st Floor, Philadelphia, PA 19140 | 2020-06-25 |
| 1619592169 | Eric Joseph Curran | Emergency Medicine | Temple University Hospital, 3401 N. Broad St., Philadelphia, PA 19140 | 2020-06-10 |
| 1801419049 | Clairissa Mulloy | Surgery | Temple University Hospital, 3401 N. Broad Street, Philadelphia, PA 19140 | 2020-05-22 |
| 1831719657 | Matthew Gerard Korber | Pharmacist | 3401 N Broad St, Attn: Outpatient Pharmacy, Philadelphia, PA 19140 | 2020-04-22 |
| 1528698578 | Katie Lynn Tercha | Nurse Practitioner | 3401 N Broad Street, Boyer Pavilion - Cardiac Surgery, Philadelphia, PA 19140 | 2020-01-17 |
| 1598318008 | Hillel Sarel Maresky | Radiology · Diagnostic Radiology | 3401 N Broad St, Philadelphia, PA 19140 | 2019-07-23 |
| 1912569039 | Danial Mir | Pathology · Anatomic Pathology & Clinical Pathology | 3401 N Broad St., Department of Pathology, Temple University Hospital, Philadelphia, PA 19140 | 2019-06-28 |
| Find all providers in zip 19140 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626413 | Amsterdam, Weisgold, Baumgarten, Ingber, & Fraiman | 100 S Broad St Ste 2000, Philadelphia, PA 19110-1009 | 2020-07-21 | |
| 1578101630 | Maryam Khalili | 3223 N Broad St Ofc 314, Philadelphia, PA 19140-5007 | 2019-12-19 | |
| 1346778651 | Loren Nicole Genetti | 8021b Castor Ave, Philadelphia, PA 19152-2733 | 2017-05-31 | |
| 1164709093 | Park Dental Associates P.C. | 1512 Sansom St, #300, Philadelphia, PA 19102-2809 | 2011-11-06 | |
| 1699088534 | Evanthia Anadioti | 240 S 40th St, Philadelphia, PA 19104-6030 | 2010-07-20 | |
| 1831426196 | David J. Fox, D.m.d., P.C. | 2401 Pennsylvania Ave Ste 1a8, Philadelphia, PA 19130-3002 | 2009-11-06 | |
| 1720246648 | Leslie Stone Stone Hirsh · Leslie Stone Hirsh | 1420 Locust Street, Suite 120, Philadelphia, PA 19102 | 2008-05-28 | |
| 1962660258 | Louis R Marion | 1500 Locust Street, Suite 1416, Philadelphia, PA 19102-4314 | 2008-05-23 | |
| 1760659601 | Mihaela Catighera | 240 S 40th St, Philadelphia, PA 19104-6030 | 2008-05-09 | |
| 1265601272 | Jeffrey M Rodney | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2008-02-23 | |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093016644 | Fang Fang · Sophia Fang | Pharmacist | 210 Washington Ave S, Kent, WA 98032-5721 | 2010-11-13 |
| 1386909653 | Melanie Fang · Mimi Fang | Marriage & Family Therapist | 3100 Mowry Ave, Suite 303, Fremont, CA 94538-1509 | 2012-07-11 |
| 1437415858 | Yunjing Fang · Anne Fang | Psychiatry & Neurology · Psychiatry | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2012-04-10 |
| 1093053183 | Shin-Chiao Fang · Joe Fang | Physical Therapist | 3315 S 23rd St, Suite 210, Tacoma, WA 98405-1605 | 2013-01-23 |
| 1942723432 | Ping Ke Fang · Pingke Fang | Dentist · General Practice | 3 Ledgewood Blvd Apt B47, North Dartmouth, MA 02747-1290 | 2017-07-17 |
| 1598850646 | Henry Y Fang · Horng Y Fang | Pediatrics | 1590 Weatherstone Ln, Elgin, IL 60123-2059 | 2006-10-04 |
| 1013123132 | Hui Fang Mai Chen · Hui Fang Mai | Acupuncturist | 12505 Montclair Dr., Silver Spring, MD 20904 | 2007-05-15 |
| 1013080449 | John Fang · Jiuun Yau Fang | Acupuncturist | 10722 Arrow Rte, Suite 510, Rancho Cucamonga, CA 91730-4808 | 2006-11-15 |
| 1912399718 | Jiali Fang · Elizabeth Fang | Student in an Organized Health Care Education/Training Program | 3950 N Lake Shore Dr, Unit 2306, Chicago, IL 60613-3434 | 2015-03-03 |
| 1558866418 | Kexin Fang · Angela Fang | Internal Medicine | 251 E Huron St, Chicago, IL 60611-3055 | 2018-03-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.