Active NPI
Lamberto A. Tan, M.D.
- Psychiatry Physician
- Bayville, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA03583100
- Practice address
- 160 Atlantic City Blvd
Bayville, NJ 08721-1229 - Phone
- (732) 349-1977
- Fax
- (732) 349-0841
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA03583100 | NJ | Primary |
Addresses
Primary practice location
160 Atlantic City Blvd
Bayville, NJ 08721-1229
Mailing address
160 Atlantic City Blvd
Bayville, NJ 08721-1229
Phone (732) 349-1977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1535404 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean Mental Health Services Inc | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Complex Care PC | Current | Accepting new patients | |
| Kimball Medical Center, Inc | Past | Accepting new patients | |
| KMC Eeg Department Group | Past | Accepting new patients | |
| Jersey Shore Psychiatric Associates, P.C. | Psychiatry | Past | Accepting new patients |
Locations
160 US Highway 9
Bayville, NJ 08721
Phone (732) 349-1977
985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600
1200 Jumping Brook Rd
Ste 201
Neptune, NJ 07753
Phone (732) 643-4363
1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333
425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bayville, NJ
- NPI 1508884347
-
- Psychiatry Physician
- Neptune, NJ
- NPI 1457356685
-
- Pediatrics Physician
- Lakewood, NJ
- NPI 1053360990
-
- Neurology Physician
- Lakewood, NJ
- NPI 1790735017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1023022159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 ATLANTIC CITY BLVD",
"city": "BAYVILLE",
"state": "NJ",
"postal_code": "087211229",
"telephone_number": "732-349-1977",
"fax_number": "732-349-0841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 ATLANTIC CITY BLVD",
"city": "BAYVILLE",
"state": "NJ",
"postal_code": "087211229",
"telephone_number": "732-349-1977",
"fax_number": "732-349-0841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "LAMBERTO",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA03583100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1535404",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.