MR. MARK TAN (NPI# 1083770580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083770580 |
| Entity Type | Individual |
| Full Name | MR. MARK TAN |
| Credential | M.D. |
| Practice Address |
222 Middle Country Road Suite 312 Smithtown NY 11787 |
| Practice Telephone | 6317248900 |
| Practice Fax Number | 6317248901 |
| Mailing Telephone | 6317248900 |
| Mailing Fax Number | 6317248901 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2011-07-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
165674 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00986705 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578658266 | Mark Tan | Plastic Surgery | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2006-10-04 |
| Street Address |
222 MIDDLE COUNTRY ROAD SUITE 312 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740242031 | Barry A. Solomon | Specialist | 222 Middle Country Road, Suite 228, Smithtown, NY 11787-0121 | 2006-04-04 |
| 1548489511 | Jason Paul Lantz | Physical Therapist | 222 Middle Country Road, Suite 201, Smithtown, NY 11787 | 2007-04-25 |
| 1528281458 | Physical Therapy Experience Pllc | Physical Therapist | 222 Middle Country Road, Suite 105, Smithtown, NY 11787-2871 | 2007-04-10 |
| 1366589954 | Bilu Joseph Mathew | Dentist | 222 Middle Country Road, Suite 100, Smithtown, NY 11787-2871 | 2007-01-31 |
| 1588723993 | Jafar Kolahifar | Psychiatry & Neurology | 222 Middle Country Road, Suite #219, Smithtown, NY 11787-2871 | 2006-12-08 |
| 1427099621 | Christopher A Burke | Psychiatry & Neurology | 222 Middle Country Road, Suite 310, Smithtown, NY 11787 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598751471 | Howard B Blumstein | Internal Medicine | 315 Middle Country Rd, Smithtown, NY 11787-2817 | 2005-09-26 |
| 1043206964 | Sara J Johnson | Internal Medicine | 315 E Middle Country Rd, Smithtown, NY 11787-2829 | 2005-09-26 |
| 1619388667 | Daniel Torres Leyva | Internal Medicine | 315 E Main St, Smithtown, NY 11787-2829 | 2014-05-13 |
| 1790978096 | Luiziana Manuela Marinescu | Internal Medicine | 315 Middle Country Rd, Smithtown, NY 11787-2869 | 2007-08-21 |
| 1922064625 | Hong Xu | Internal Medicine | 315 Middle Country Rd, Smithtown, NY 11787-2817 | 2006-04-22 |
| 1639165541 | Paul E Schulman | Internal Medicine | 315 Middle Country Rd, Smithtown, NY 11787-2817 | 2005-09-26 |
| 1245226109 | Peter M Rumore | Internal Medicine | 315 Middle Country Rd, Smithtown, NY 11787-2817 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679195077 | New York Rheumatology Care, PC | Internal Medicine | 1020 Park Ave Fl 1, New York, NY 10028-0913 | 2020-05-08 |
| 1659865962 | Dorothy Lacombe Adult Healthcare Nurse Practitioner Pllc | Internal Medicine | 954 Rt 146, Suite 3, Clifton Park, NY 12065 | 2018-06-20 |
| 1730601196 | New York University | Internal Medicine | 333 East 38th Street, New York, NY 10016 | 2017-07-07 |
| 1023539566 | New York University | Internal Medicine | 233 Broadway Ste 620, New York, NY 10279-0001 | 2017-07-06 |
| 1851846240 | Bernard Joffe | Internal Medicine | 10 Paula Pl, Chappaqua, NY 10514-1632 | 2016-08-16 |
| 1811377989 | Liliya Gandrabur | Internal Medicine | 4422 Third Ave Mills Bldg 3rd Fl, Dept of Internal Medicine, Bronx, NY 10457 | 2015-06-04 |
| 1568859007 | Varun Bhalla | Internal Medicine | 17 E 102nd St Ste 4d, New York, NY 10029 | 2015-04-22 |
| 1992195283 | Northeast Rheumatology PC | Internal Medicine | 85-49 Eliot Avenue Unit G, Rego Park, NY 11374 | 2015-01-26 |
| 1679962542 | Craig Smuda | Internal Medicine | 324 E 23rd St Fl 1, New York, NY 10010-4701 | 2015-01-15 |
| 1174927925 | Bradley Schlussel | Internal Medicine | 424 W Park Ave, 2nd Floor, Long Beach, NY 11561-3129 | 2014-10-22 |
| Find all providers with the same taxonomy | ||||
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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.