Concepcion V. Tan,M.D.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

111610 Issued in NY

Legal business name

CONCEPCION V. TAN,M.D.

Practice address

2746 Ocean Ave
Brooklyn, NY 11229-4708

Phone

(718) 769-8305

Fax

(718) 332-2956

NPI assigned

Jan 13, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Concepcion V Tan, MDNPI 1962403097

Title

Sole Owner

Phone

(718) 769-8305

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Concepcion V Tan, MD

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1962403097
  NPD (past) Authorized official

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1255797767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2746 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294708",
            "telephone_number": "718-769-8305",
            "fax_number": "718-332-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2746 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294708",
            "telephone_number": "718-769-8305",
            "fax_number": "718-332-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPCION V. TAN,M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "CONCEPCION",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "718-769-8305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "111610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00638197",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcela A. Cona, MS-SLP
• Marian Elizabeth Conaty, MSTOM, LAC
• Yelena Conaway, PH.D.
• Madeline Conboy
• Mariel Concepcion Morales
• Brandon Concepcion, P.A.
• Emily Rose Concepcion, D.O
• John King Concepcion
• Jose Q Concepcion, MD
• Jose Robert Concepcion, M.D.

• Primary Care Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.