Active NPI
Gloria K Tang, M.D.
- Specialist
- Mount Vernon, NY
National Provider Identifier
1194739565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 126707
- Practice address
- 12 N 7TH Ave
Mount Vernon, NY 10550-2026 - Phone
- (914) 664-8000
- NPI assigned
- Jul 28, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 126707 | NY | Primary |
Addresses
Primary practice location
12 N 7TH Ave
Mount Vernon, NY 10550-2026
Mailing address
777 N Macquesten Pkwy Apt 551
Mount Vernon, NY 10552-1628
Phone (914) 699-0010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00608897 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 126707 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194739565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 N MACQUESTEN PKWY APT 551",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105521628",
"telephone_number": "914-699-0010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 N 7TH AVE",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105502026",
"telephone_number": "914-664-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANG",
"first_name": "GLORIA",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "126707",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00608897",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, NY
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.