Active NPI
Lin-Lan Tang, M.D.
- Pediatric Adolescent Medicine Physician
- Warren, NJ
National Provider Identifier
1083637896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- MA55250
- Practice address
- 27 Mountain Blvd
Suite 2
Warren, NJ 07059-5605 - Phone
- (908) 756-6767
- Fax
- (908) 756-5320
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | MA55250 | NJ | Primary |
Addresses
Primary practice location
27 Mountain Blvd
Suite 2
Warren, NJ 07059-5605
Mailing address
27 Mountain Blvd
Suite 2
Warren, NJ 07059-5605
Phone (908) 756-6767
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151118002072 | NJ | Order and Referring Only - Pediatric Medicine | 4789984022 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA55250 | NJ | MD | Pediatric Adolescent Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184371200000",
"number": "1083637896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 MOUNTAIN BLVD",
"address_2": "SUITE 2",
"city": "WARREN",
"state": "NJ",
"postal_code": "070595605",
"telephone_number": "908-756-6767",
"fax_number": "908-756-5320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 MOUNTAIN BLVD",
"address_2": "SUITE 2",
"city": "WARREN",
"state": "NJ",
"postal_code": "070595605",
"telephone_number": "908-756-6767",
"fax_number": "908-756-5320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANG",
"first_name": "LIN-LAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NJ",
"license": "MA55250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2007; 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.