Individual provider Active NPI

Nancy Kaplan Tancer, M.D.

  • Child & Adolescent Psychiatry Physician
  • Old Tappan, NJ
National Provider Identifier
1114124070
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
25MA05451900 Issued in NJ
Practice address
1 Dewolf Rd
Old Tappan, NJ 07675-7015
Phone
(201) 767-9399
Fax
(201) 767-3105
NPI assigned
Jul 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 25MA05451900 NJ Primary

Addresses

Primary practice location

1 Dewolf Rd
Old Tappan, NJ 07675-7015

Mailing address

1 Dewolf Rd
Old Tappan, NJ 07675-7015
Phone (201) 767-9399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05451900NJMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114124070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DEWOLF RD",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757015",
            "telephone_number": "201-767-9399",
            "fax_number": "201-767-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DEWOLF RD",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757015",
            "telephone_number": "201-767-9399",
            "fax_number": "201-767-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANCER",
        "first_name": "NANCY",
        "middle_name": "KAPLAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MA05451900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Tappan, NJ

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.