Active NPI
Raymond Tam, MD, PC
- Psychiatry Physician
- Rego Park, NY
National Provider Identifier
1023396371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 195108-1
- Legal business name
- RAYMOND TAM, MD, PC
- Practice address
- 9520 63Rd Rd
Suite J
Rego Park, NY 11374-1160 - Phone
- (718) 459-1225
- Fax
- (718) 459-5805
- NPI assigned
- Aug 3, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raymond Tam, MD
- Title
- Owner
- Phone
- (718) 459-1225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 195108-1 | NY | Primary |
Addresses
Primary practice location
9520 63Rd Rd
Suite J
Rego Park, NY 11374-1160
Mailing address
331 Cresthaven LN
Whitestone, NY 11357-1148
Phone (718) 459-1225
National Provider Directory
National Provider DirectoryLocations
9520 63rd Rd
Ste J
Rego Park, NY 11374
Phone (718) 459-5812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312329600000",
"number": "1023396371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 CRESTHAVEN LN",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113571148",
"telephone_number": "718-459-1225",
"fax_number": "718-459-5805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9520 63RD RD",
"address_2": "SUITE J",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113741160",
"telephone_number": "718-459-1225",
"fax_number": "718-459-5805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAYMOND TAM, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-03",
"last_updated": "2011-08-03",
"status": "A",
"authorized_official_last_name": "TAM",
"authorized_official_first_name": "RAYMOND",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-459-1225",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "195108-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.