Active NPI
Timmi Marie Tan, DO
- Family Medicine Physician
- Brooklyn, NY
National Provider Identifier
1235823451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 343384
- Practice address
- 40 Flatbush Avenue Ext
Brooklyn, NY 11201-2903 - Phone
- (718) 215-1818
- Fax
- (212) 271-7225
- NPI assigned
- Jun 8, 2023
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 343384 | NY | Primary |
Addresses
Primary practice location
40 Flatbush Avenue Ext
Brooklyn, NY 11201-2903
Mailing address
40 Flatbush Avenue Ext
Brooklyn, NY 11201-2903
Phone (718) 215-1818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230703001105 | FL | Order and Referring Only - Family Practice | 8921467317 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- ttan755229@adventhealth.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1235823451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 FLATBUSH AVENUE EXT",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112012903",
"telephone_number": "718-215-1818",
"fax_number": "212-271-7225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 FLATBUSH AVENUE EXT",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112012903",
"telephone_number": "718-215-1818",
"fax_number": "212-271-7225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "TIMMI",
"middle_name": "MARIE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-08",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "343384",
"primary": true
}
],
"identifiers": [],
"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 Jul 2, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.