Active NPI
Wei Yan Tan, MD
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1174511000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 225855
- Practice address
- 5618 7TH Ave
Brooklyn, NY 11220-3510 - Phone
- (718) 439-3284
- Fax
- (718) 439-5029
- NPI assigned
- Oct 13, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 225855 | NY | Primary |
Addresses
Primary practice location
5618 7TH Ave
Brooklyn, NY 11220-3510
Mailing address
5618 7TH Ave
Brooklyn, NY 11220-3510
Phone (718) 439-3284
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225855 | Other | NY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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
- Internal Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5618 7TH Ave
Brooklyn, NY 11220-3510
Phone (718) 439-3284
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wei Yan Tan Physician. P.C. | Internal Medicine | Current | Accepting new patients |
Locations
5618 7th Ave
Brooklyn, NY 11220
Phone (718) 439-3284
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DGCJCA
- https://fhir4.healow.com/fhir/r4/DGCJCA/Endpoint/DGCJCA
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.
-
- Internal Medicine Physician
- Woodbury, NY
- NPI 1649600651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427414400000",
"number": "1174511000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5618 7TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203510",
"telephone_number": "718-439-3284",
"fax_number": "718-439-5029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5618 7TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203510",
"telephone_number": "718-439-3284",
"fax_number": "718-439-5029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "WEI",
"middle_name": "YAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-13",
"last_updated": "2015-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "225855",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "225855",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.