Jose Tan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00814100 Issued in NJ

Practice address

30 S Union Ave
Cranford, NJ 07016-2833

Phone

(908) 653-1776

Fax

(908) 653-1779

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Profunction Physical Therapy LLCGroup PAC ID 4880585009, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Profunction Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Cranford, NJ
  • NPI 1033267323

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Belle Mead Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Hillsborough, NJ
  • NPI 1568434538
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053460519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S UNION AVE",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162833",
            "telephone_number": "908-653-1776",
            "fax_number": "908-653-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S UNION AVE",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162833",
            "telephone_number": "908-653-1776",
            "fax_number": "908-653-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "JOSE",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00814100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niki L Swayze, RN IBCLC
• Emma Caroline Szark
• Elisa Szczepankiewicz, M.AC, L.AC
• Amanda Sze, DPT, PT
• Tabrina Hargrove Ma, LMFT LLC
• Sucel Tan, PT
• William Terens, MD
• Nilay Thakkar, PHARMACIST
• The Able Channel Inc
• The Arc of Union County

• Physical Therapist in Cranford, NJ
• Providers in Cranford, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.