Organization Active NPI

Raymond Tam, MD, PC

  • Psychiatry Physician
  • Rego Park, NY
National Provider Identifier
1023396371
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
195108-1 Issued in NY
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

Updated by the provider on Aug 3, 2011

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.