TIFFANY CHAN


Address: 30 Bergen St, Emergency Medicine, Admc-11, Rm 1110, Newark, NJ 07107-3000
Phone: 9739729261

TIFFANY CHAN (NPI# 1124413265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124413265
Entity Type Individual
Full Name TIFFANY CHAN
Credential M.D.
Practice Address 30 Bergen St
Emergency Medicine, Admc-11, Rm 1110
Newark
NJ 07107-3000
Practice Telephone 9739729261
Practice Fax Number 9739729268
Mailing Telephone 9739729261
Mailing Fax Number 9739729268
Enumeration Date 2015-04-06
Last Update Date 2015-04-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers TIFFANY CHAN

NPI Name Taxonomy Address Enumeration
1508312182 Tiffany Chan Occupational Therapist 1000 S Fremont Ave., Alhambra, CA 91803 2016-09-01
1558601583 Tiffany Chan Dentist 100 W El Camino Real Ste 63a, Mountain View, CA 94040-2649 2013-02-28
1881918209 Tiffany Eva Chan Speech-Language Pathologist 250 Bay 22nd St, 2nd Floor, Brooklyn, NY 11214-6106 2010-03-15
1114583077 Tiffany S Chan Pediatrics 301 University Blvd, Galveston, TX 77555-1119 2019-05-16
1891255014 Tiffany Michelle Chan Student in an Organized Health Care Education/Training Program 1 Baylor Plz, Houston, TX 77030-3411 2019-03-22
1588142657 Tiffany Chan Colon & Rectal Surgery 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 2018-08-01
1801344767 Tiffany Lim Chan Pharmacist 25709 Union Tpke, Glen Oaks, NY 11004-1250 2016-09-20
1053776674 Tiffany Chan Nurse Practitioner 15400 Los Gatos Blvd, Los Gatos, CA 95032-2502 2015-12-24
1376923110 Tiffany Chan Counselor 1421 Broderick St, San Francisco, CA 94115-3304 2015-06-07
1992194203 Tiffany K Chan Optometrist 1635 Divisadero St, 4th Floor, San Francisco, CA 94115-3036 2015-01-10

Office Location

Street Address 30 BERGEN ST
EMERGENCY MEDICINE, ADMC-11, RM 1110
City NEWARK
State NJ
Zip Code 07107-3000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235119686 Susan V Garstang Physical Medicine & Rehabilitation 30 Bergen St, Admc 101, Newark, NJ 07107-3000 2006-01-20
1699225227 University Physician Associates of New Jersey, Inc Otolaryngology 30 Bergen St, Admc 1205, Newark, NJ 07107-3000 2016-10-06
1083068217 Ariel Patrice Sena Student in an Organized Health Care Education/Training Program 30 Bergen St, Admc 11 - Room 110, Newark, NJ 07107-3000 2016-04-13
1346694577 Helena Gvili Student in an Organized Health Care Education/Training Program 30 Bergen St, Admc11 Rm 1110, Newark, NJ 07107-3000 2016-04-13
1801152939 Subhanir Sunil Chitnis Emergency Medicine 30 Bergen St, Admc 11, Room 1110, Newark, NJ 07107-3000 2012-04-03
1659647873 Chidinma Dawn Kabba Emergency Medicine 30 Bergen St, Admc 11 Room 1110, Newark, NJ 07107-3000 2012-04-02
1407122328 Joseph Alan Rogers Student in an Organized Health Care Education/Training Program 30 Bergen St, Admc 11 Room 1110, Newark, NJ 07107-3000 2012-03-26
1477842631 Suzanne A Katsetos Emergency Medicine 30 Bergen St, Admc 11, Rm 1110, Newark, NJ 07107-3000 2011-03-28
1669603387 Tobechukwu Clouden Psychiatry & Neurology 30 Bergen St, Newark, NJ 07107-3000 2009-07-29
1023262037 Charles Fleischner Emergency Medicine 30 Bergen St, Admc 1110, Newark, NJ 07107-3000 2008-11-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134747272 Kobie Blair Morgan Counselor Kobie Blair Morgan, Esq., Mba, Ma, Lpc, 76-78 First Street, Suite 3, Newark, NJ 07107 2020-07-06
1811522634 Yasheika Hermitt South Licensed Practical Nurse North 11th Street, Newark, NJ 07107 2020-03-12
1568941375 Orange Street Spec LLC Dentist 509a Orange Street Suite A, Newark, NJ 07107 2018-08-13
1548617103 Jose Andres Morales Case Manager/Care Coordinator 541 Roseville Av., Newark, NJ 07107 2016-05-24
1053743997 Center for Wound Science and Healing General Acute Care Hospital 495 North 13th Street, 2nd Floor, Newark, NJ 07107 2013-08-02
1750620944 Jeevan M Mathew Physical Therapist 500 0range Street, Suite 2, Newark, NJ 07107 2013-02-07
1982967386 D & M Quality of Life Services, LLP In Home Supportive Care 285 Roseville Avenue, Suite 118, Newark, NJ 07107 2012-06-20
1710121496 Paul Hsu Pharmacist 421 Bloomfield Ave, Guardys, Newark, NJ 07107 2009-04-27
1194969774 Prescriptions Etc Inc. Clinic/Center 421 Bloomfield Ave., Guardys, Newark, NJ 07107 2009-04-27
1821269630 Chandra Gupta Pediatrics 156 Roseville Avenue, Newark, NJ 07107 2008-03-19
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477165959 Nikolina Markovic Student in an Organized Health Care Education/Training Program 140 Bergen St # I121, Newark, NJ 07103-2425 2020-08-17
1770191413 Matthias Dunse Student in an Organized Health Care Education/Training Program 90 Bergen St # 5200, Newark, NJ 07103-2425 2020-07-20
1659998805 Alejandra Lazaro Student in an Organized Health Care Education/Training Program 35982 Burning Tree Dr, Newark, CA 94560-1530 2020-07-02
1912524968 Tyson Mellish Anthony Student in an Organized Health Care Education/Training Program 185 S Orange Ave Bldg G595, Newark, NJ 07103-2757 2020-06-25
1891319646 Mary Thi Tran Student in an Organized Health Care Education/Training Program 6230 Smith Ave, Newark, CA 94560-4541 2020-06-07
1891319638 Onoyom O Onyile Student in an Organized Health Care Education/Training Program 110 Bergen St Rm C-723, Newark, NJ 07103-2495 2020-06-07
1235750936 Dave Arnanth Thiyagaram Student in an Organized Health Care Education/Training Program 185 South Orange Ave Medical Science Building, Suite G, Newark, NJ 07103-2757 2020-05-04
1619597093 Naana Boachie Student in an Organized Health Care Education/Training Program 11 7th Ave Apt 5c, Newark, NJ 07104-3303 2020-04-25
1447870480 Hadeel Samy Sadek Student in an Organized Health Care Education/Training Program 150 Bergen St # Uhi248, Newark, NJ 07103-2496 2020-04-20
1225657836 Deneshia Mcintosh Student in an Organized Health Care Education/Training Program 185 S Orange Ave Bldg G594, Newark, NJ 07103-2757 2020-04-14
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Competitor

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City NEWARK
Zip Code 07107

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Dataset Information

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.

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