VIRAK TAN (NPI# 1841373438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
25MA07231500 | NJ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 8555907 | 05 |
Street Address |
90 BERGEN ST DOC 1200 |
City | NEWARK |
State | NJ |
Zip Code | 07103-2425 |
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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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 |
Find all providers in zip 07103 |
Taxonomy Code | 207XS0106X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Hand Surgery |
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. |
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 |
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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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.