IndividualActive
Andy Nan
NPI 1104708254 · Physician Assistant · Elmhurst, NY
Andy Nan is a Physician Assistant provider in Elmhurst, NY (NPI 1104708254).
Provider details
- NPI number
- 1104708254
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9425 60th Ave
Elmhurst, NY 11373-5069
Phone: (718) 760-0797
Street-level locationGet directions
Mailing address
209 Evergreen Ave
Bethpage, NY 11714-1221
Registry dates
- Enumerated
- 2025-07-21
- Last updated
- 2025-07-21
- Certified
- 2025-07-21
Frequently asked questions
- What is Andy Nan's NPI number?
- Andy Nan's National Provider Identifier (NPI) is 1104708254, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andy Nan's specialty?
- Andy Nan is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Andy Nan located?
- Andy Nan's practice location on file with NPPES is 9425 60th Ave, Elmhurst, NY 11373-5069.
- What is Andy Nan's phone number?
- The practice phone number listed in the NPPES registry for Andy Nan is (718) 760-0797.
- Is Andy Nan's NPI active?
- Yes — Andy Nan's NPI (1104708254) is active in the NPPES registry as of the last update on 2025-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.