Active NPI
Yung Khan Tan, MD
- Student in an Organized Health Care Education/Training Program
- New York, NY
National Provider Identifier
1306110416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 09945G
- Practice address
- 161 Fort Washington Ave
New York, NY 10032-3729 - Phone
- (469) 371-1260
- NPI assigned
- Mar 7, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 09945G | ZZ | Primary |
Addresses
Primary practice location
161 Fort Washington Ave
New York, NY 10032-3729
Mailing address
28 Pasir Panjang Hill
Singapore, SINGAPORE 118846
SG
Phone (659) 667-9421
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 |
|---|---|---|---|
| 09945G | ZZ | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331078400000",
"number": "1306110416",
"addresses": [
{
"country_code": "SG",
"country_name": "Singapore",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "28 PASIR PANJANG HILL",
"city": "SINGAPORE",
"state": "SINGAPORE",
"postal_code": "118846",
"telephone_number": "659-667-9421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 FORT WASHINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323729",
"telephone_number": "469-371-1260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "YUNG",
"middle_name": "KHAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-07",
"last_updated": "2012-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "ZZ",
"license": "09945G",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.