VIRAK TAN


Address: 90 Bergen St, Doc 1200, Newark, NJ 07103-2425
Phone: 9739722150

VIRAK TAN (NPI# 1841373438) 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) 1841373438
Entity Type Individual
Full Name VIRAK TAN
Credential M.D.
Practice Address 90 Bergen St
Doc 1200
Newark
NJ 07103-2425
Mailing Address 30 Bergen St
Admc 12 1205
Newark
NJ 07107-3000
Practice Telephone 9739722150
Practice Fax Number 9739722155
Enumeration Date 2006-10-24
Last Update Date 2009-08-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XS0106X Orthopaedic Surgery
Specialization: Hand Surgery
25MA07231500 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 8555907 05

Office Location

Street Address 90 BERGEN ST
DOC 1200
City NEWARK
State NJ
Zip Code 07103-2425

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285623074 Karen Virginia Valdez-gonzalez Genetic Counselor, MS 90 Bergen St, Doctors Office Center - Suite 5400, Newark, NJ 07103-2425 2005-10-14
1134758816 Elizabeth Elaine Ginalis Student in an Organized Health Care Education/Training Program 90 Bergen St, Newark, NJ 07103-2425 2020-04-05
1003462854 University Surgical Associates (om) Transplant Surgery 90 Bergen St, Newark, NJ 07103-2425 2019-08-16
1528614021 Special LLC Plastic Surgery 90 Bergen St, Newark, NJ 07103-2425 2019-08-12
1265993216 Sean Michael Munier Student in an Organized Health Care Education/Training Program 90 Bergen St, Newark, NJ 07103-2425 2019-03-30
1629539861 Ali Tayebi Meybodi Student in an Organized Health Care Education/Training Program 90 Bergen St, Newark, NJ 07103-2425 2019-03-29
1497214282 Brandon Khoa Nguyen Student in an Organized Health Care Education/Training Program 90 Bergen St, Newark, NJ 07103-2425 2019-03-19
1649776790 Purvee D Patel Student in an Organized Health Care Education/Training Program 90 Bergen St, Newark, NJ 07103-2425 2018-04-05
1740716703 Elena Solli Student in an Organized Health Care Education/Training Program 90 Bergen St, Doctor's Office Center, Neurological Surgery Dept., Newark, NJ 07103-2425 2017-05-11
1881120954 Ivo Bach Student in an Organized Health Care Education/Training Program 90 Bergen St, Suite 5200, Newark, NJ 07103-2425 2017-05-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124657077 Yingna Liu Student in an Organized Health Care Education/Training Program Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 2020-04-03
1568029684 Martins Akhibi Nurse Practitioner 178 Newton Street, Newark, NJ 07103 2019-05-23
1972168482 Newark Renaissance House, Inc Rehabilitation, Substance Use Disorder Unit 50-56 Norfolk Street, Newark, NJ 07103 2019-05-09
1346709235 Ian Wang Yu Student in an Organized Health Care Education/Training Program 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 2019-03-19
1437648417 Stephen Vanbeek Internal Medicine 185 S Orange Ave Rm 547, Newark, NJ 07103 2018-05-06
1073019444 Geoffrey Alexander Talis Student in an Organized Health Care Education/Training Program 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 2018-04-03
1285139907 Thomas Georg Bachmann Student in an Organized Health Care Education/Training Program 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 2018-03-26
1154825289 Shammi A Patel Student in an Organized Health Care Education/Training Program 185 S Orange Ave # Msbg594, Newark, NJ 07103 2018-03-22
1982122545 North Jersey Aids Alliance Clinic/Center 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 2017-09-05
1134655533 Yasmin N Abedin Student in an Organized Health Care Education/Training Program 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 2017-05-04
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Taxonomy Information

Taxonomy Code 207XS0106X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Hand Surgery

Taxonomy Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235454984 Michael Mark Vosbikian Orthopaedic Surgery 205 S Orange Ave, Newark, NJ 07103-2785 2010-04-06
1689856718 Iqbal Ahmad Orthopaedic Surgery 45 Academy St, Newark, NJ 07102-2924 2007-11-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639648785 Garden State Orthopaedic Associates, P.a. Orthopaedic Surgery 22 Madison Ave Ste 202, Paramus, NJ 07652-2721 2018-11-19
1932643392 Institute for Hand and Arm Surgery Orthopaedic Surgery 345 Main St Ste 202, Madison, NJ 07940-2339 2016-12-05
1902226673 Jeremy Ruskin Orthopaedic Surgery 234 Industrial Way W Ste B-200, Eatontown, NJ 07724-4244 2014-04-22
1386067130 Virtua Medical Group, Pa Orthopaedic Surgery 1311 Fairview Blvd Ste B, Delran, NJ 08075-1474 2014-01-30
1316368012 Virtua Medical Group, Pa Orthopaedic Surgery 200 Bowman Dr Ste E140, Voorhees, NJ 08043-9631 2013-12-23
1417219619 Virtua Medical Group, Pa Orthopaedic Surgery 100 Kings Way E Ste D3a, Sewell, NJ 08080-2237 2012-06-13
1063788958 Garden State Orthopaedic Associates, P.a. Orthopaedic Surgery 33-41 Newark St, Hoboken, NJ 07030-5627 2012-03-26
1255635272 Deidre Bielicka Orthopaedic Surgery 629 Cranbury Rd, East Brunswick, NJ 08816-4096 2011-01-05
1871804880 Rosemary Yi Orthopaedic Surgery 620 Essex Street, Suite 202, Harrison, NJ 07029-2134 2010-06-24
1821232133 Janet Han Yueh Orthopaedic Surgery 113 W Essex St Ste 202, Maywood, NJ 07607-1023 2009-04-30
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Competitor

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City NEWARK
Zip Code 07103

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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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