Kong L Tan (NPI# 1184667289, PAC ID# 8123097599) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1184667289 |
| PAC ID by PECOS | 8123097599 |
| Professional Enrollment ID | I20041001000427 |
| Full Name | Kong L Tan |
| Organization Legal Name | ATLANTIC GASTROENTEROLOGY ASSOCIATES PA |
| Address |
3205 Fire Rd Egg Harbor Township NJ 08234-5884 |
| Phone Number | 6094071220 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1970 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 3678560554 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310112 | BAYSHORE MEDICAL CENTER |
| 310052 | OCEAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 7328402200 | MERIDIAN LABORATORY PHYSICIANS, PA |
| 3205 Fire Rd, Egg Harbor Township, NJ 08234-5884 | 6094071220 | ATLANTIC GASTROENTEROLOGY ASSOCIATES PA |
| 727 N Beers St, Department of Pathology, Holmdel, NJ 07733-1514 | 7327395847 | MERIDIAN LABORATORY PHYSICIANS, PA |
| 1 Riverview Plz, Red Bank, NJ 07701-1864 | 7327412700 | MERIDIAN LABORATORY PHYSICIANS, PA |
| Organization Legal Name | ATLANTIC GASTROENTEROLOGY ASSOCIATES PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nikhilesh D Mehta | Gastroenterology | Atlantic Gastroenterology Associates Pa | 3205 Fire Rd, Egg Harbor Township, NJ 08234-5884 |
| Barry P Kaufman | Gastroenterology | Atlantic Gastroenterology Associates Pa | 3205 Fire Rd, Egg Harbor Township, NJ 08234-5884 |
| John J Santoro | Gastroenterology | Atlantic Gastroenterology Associates Pa | 3205 Fire Rd, Egg Harbor Township, NJ 08234-5884 |
| Gary A Rosman | Gastroenterology | Atlantic Gastroenterology Associates Pa | 3205 Fire Rd, Egg Harbor Township, NJ 08234-5884 |
| Street Address |
3205 FIRE RD |
| City | EGG HARBOR TOWNSHIP |
| State | NJ |
| Zip | 08234-5884 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nikhilesh D Mehta | Gastroenterology | Atlantic Gastroenterology Associates Pa | 3205 Fire Rd, Egg Harbor Township, NJ 08234-5884 |
| Barry P Kaufman | Gastroenterology | Atlantic Gastroenterology Associates Pa | 3205 Fire Rd, Egg Harbor Township, NJ 08234-5884 |
| John J Santoro | Gastroenterology | Atlantic Gastroenterology Associates Pa | 3205 Fire Rd, Egg Harbor Township, NJ 08234-5884 |
| Gary A Rosman | Gastroenterology | Atlantic Gastroenterology Associates Pa | 3205 Fire Rd, Egg Harbor Township, NJ 08234-5884 |
| Joseph L Spaar | Gastroenterology | Atlantic Gastroenterology Associates, P.a. | 3205 Fire Rd, Egg Harbor Township, NJ 08234-5884 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Louis J Fornasier | Optometry | 6725 Black Horse Pike, Egg Harbor Twp, NJ 08234-3904 | |
| Jack Shakarshy | Diagnostic Radiology | Atlantic Medical Imaging | 3100 Hingston Ave, Suite 102, Egg Harbor Twp, NJ 08234-4409 |
| Alicia Lai | Podiatry | Foot and Ankle Center LLC | 3003 English Creek Ave, Suite C5, Egg Harbor Township, NJ 08234-4818 |
| Deborah M Rosenfeld | Podiatry | Foot and Ankle Center LLC | 3003 English Creek Ave, Suite C5, Egg Harbor Township, NJ 08234-4818 |
| Irina A Tsyganova | Podiatry | Foot and Ankle Center LLC | 3003 English Creek Ave, Suite C5, Egg Harbor Township, NJ 08234-4818 |
| Howard J Gross | Ophthalmology | Vantage Eyecare, LLC | 3003 English Creek Ave, Egg Harbor Township, NJ 08234-4863 |
| Jill J Rodio-vivadelli | Optometry | Vantage Eyecare, LLC | 3003 English Creek Ave, Egg Harbor Township, NJ 08234-4863 |
| Nickolas Shissias | Optometry | Vantage Eyecare, LLC | 3003 English Creek Ave, Egg Harbor Township, NJ 08234-4863 |
| Robert Frederick Nunn | Ophthalmology | Vantage Eyecare, LLC | 3003 English Creek Ave, Egg Harbor Township, NJ 08234-4863 |
| Nicole M Pritz | Ophthalmology | Vantage Eyecare, LLC | 3003 English Creek Ave, Egg Harbor Township, NJ 08234-4863 |
| Find all physicians in zip 08234 | |||
| City | EGG HARBOR TOWNSHIP |
| Zip Code | 08234 |
| Specialty | PATHOLOGY |
| City + Specialty | EGG HARBOR TOWNSHIP + PATHOLOGY |
Please comment or provide details below to improve the information on Kong L Tan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.