Active NPI
Royland Tan, MD
- Anesthesiology Physician
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA06216700
- Practice address
- 268 Martin Luther King Jr Blvd
Newark, NJ 07102-2011 - Phone
- (973) 877-5034
- Fax
- (973) 877-5231
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA62167 | NJ | |
| Anesthesiology Physician | 207L00000X | 25MA06216700 | NJ | Primary |
Addresses
Primary practice location
268 Martin Luther King Jr Blvd
Newark, NJ 07102-2011
Mailing address
3998 Fair Ridge Drive
Suite 300
Fairfax, VA 22033
Phone (703) 295-9360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6670407 | Medicaid | NJ |
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
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Central Ave
Newark, NJ 07102-1909
Phone (973) 877-5000
703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA62167 | NJ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia of New Jersey LLC | Anesthesiology | Current | Accepting new patients |
Locations
1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008
630 E Palisade Ave
Englewood Cliffs, NJ 07632
Phone (201) 503-0302
300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200
6 Chestnut Ridge Rd
Montvale, NJ 07645
Phone (201) 391-4700
111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
246 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 653-3366
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Brick, NJ
- NPI 1548433048
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1568825545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427241600000",
"number": "1124026893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3998 FAIR RIDGE DRIVE",
"address_2": "SUITE 300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22033",
"telephone_number": "703-295-9360",
"fax_number": "703-766-9725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 MARTIN LUTHER KING JR BLVD",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071022011",
"telephone_number": "973-877-5034",
"fax_number": "973-877-5231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "ROYLAND",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2015-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "MA62167",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA06216700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6670407",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.
- 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.