Birendra Nath Tandan, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MA27177 Issued in NJ

Practice address

560 Bellevue Ave
Hammonton, NJ 08037-1933

Phone

(609) 561-8625

Fax

(609) 561-5371

NPI assigned

Jun 19, 2006

Last updated

Jun 25, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: birendra.tandan.1@15449.direct.athenahealth.com

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.

• State of New Jersey Omb Centralized Payroll

  • Psychiatric Hospital
  • Hammonton, NJ
  • NPI 1629155502
  Medicare reassignment NPD
• Birendra N Tandan MD LLC

  • Urology Physician
  • Hammonton, NJ
  • NPI 1265646293
  NPD (past) Authorized official
• State of New Jersey Omb Centralized Payroll

  dba Greystone Park Psychiatric Hospital

  • Psychiatric Hospital
  • Morris Plains, NJ
  • NPI 1336221878
  NPD

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1265477616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 BELLEVUE AVE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371933",
            "telephone_number": "609-561-8625",
            "fax_number": "609-561-5371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 BELLEVUE AVE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371933",
            "telephone_number": "609-561-8625",
            "fax_number": "609-561-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANDAN",
        "first_name": "BIRENDRA",
        "middle_name": "NATH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "MA27177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2871700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stuart W. Honick, D.P.M., P.T., LLC (Go Feet)
• Reginald Swanigan
• Saqib Abdul Syed, M.D.
• Michael Sylvester, PHARM.D.
• Patrick Roy Taber
• Rhasun Tapp
• Equina Taylor
• Shirley Taylor
• Team Physical Therapy Limited
• Ronald Edwin Teed, LCSW

• Urology Physician in Hammonton, NJ
• Providers in Hammonton, NJ by specialty
• Urology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.

Verify at the official NPI Registry.