NPIMap

Individual provider Active NPI

Eric Tan, FNP

  • Primary Care Nurse Practitioner
  • Brick, NJ
National Provider Identifier
1144995754
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ01177300 Issued in NJ
Practice address
35 Beaverson Blvd Ste 6B
Brick, NJ 08723-7859
Phone
(732) 262-0622
NPI assigned
Aug 16, 2021
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NJ01177300 NJ Primary

Addresses

Primary practice location

35 Beaverson Blvd Ste 6B
Brick, NJ 08723-7859

Mailing address

103 Golf View Blvd
Toms River, NJ 08753-7302
Phone (848) 992-4255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220104001577 NJ Practitioner - Nurse Practitioner 8224429121 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

35 Broad St
Keyport, NJ 07735-1267
Phone (732) 888-4149

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Nurse Association of Central Jersey Community Health Center I CurrentSince Oct 1, 2021 Accepting new patients
Harmony Medical Services of New Jersey LLC CurrentSince Oct 8, 2025 Accepting new patients
Harmony Medical Services of New Jersey LLC Current Accepting new patients
Visiting Nurse Association of Central Jersey Community Health Center I CurrentSince Oct 1, 2021 Accepting new patients
Visiting Nurse Association of Central Jersey Community Health Center I Past Accepting new patients
Visiting Nurse Association of Central Jersey, Community Health Center, Past Accepting new patients
My Home Doctor, LLC Past Accepting new patients

Locations

1301 Main St
Asbury Park, NJ 07712
Phone (732) 774-6333

35 Broad St
Keyport, NJ 07735
Phone (732) 888-4149

28 Valley Rd
Montclair, NJ 07042
Phone (908) 451-8519

Interoperability endpoints

  • Direct secure messaging: eric.tan.p1@direct.vnahg.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1144995754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 GOLF VIEW BLVD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537302",
            "telephone_number": "848-992-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BEAVERSON BLVD STE 6B",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237859",
            "telephone_number": "732-262-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "ERIC",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ01177300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.