John J K Tan MD PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

JOHN J K TAN MD PA

Practice address

77 Park St
Montclair, NJ 07042-2962

Phone

(973) 746-4855

Fax

(973) 746-5305

NPI assigned

Jul 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. John J K Tan, M.D.

Title

President

Phone

(973) 746-4855

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Reuben Rozanski, MD

  • Dermatology Physician
  • Glen Ridge, NJ
  • NPI 1679530588
  NPD (past)
• Earl V Sandor, MD

  • Ophthalmology Physician
  • Hackensack, NJ
  • NPI 1740377704
  NPD (past)

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1306077144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3405",
            "address_2": "MEMORIAL STATION",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070433405",
            "telephone_number": "973-746-4855",
            "fax_number": "973-746-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422962",
            "telephone_number": "973-746-4855",
            "fax_number": "973-746-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J K TAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-746-4855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "25MAO2451600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ze Jiang
• Jill Tolia MD LLC
• Johannarosenfield LLC
• John Cooke, MD, LLC
• John E. Robinton M.D. P.a.
• Diamond Jones
• Gerald Jones
• Euloiza Jorge, LCSW
• Rebecca Jorgensen, ACSM CEP
• Jose P Barba M D P a

• Otolaryngology Physician in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Otolaryngology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.