David K P Tam, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA02277300 Issued in NJ

Practice address

3 Lincoln Hwy
Suite 102
Edison, NJ 08820-3963

Phone

(732) 549-3230

Fax

(732) 549-5905

NPI assigned

Jan 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242777600000",
    "number": "1366592073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LINCOLN HWY",
            "address_2": "SUITE 102",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203963",
            "telephone_number": "732-549-3230",
            "fax_number": "732-549-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LINCOLN HWY",
            "address_2": "SUITE 102",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203963",
            "telephone_number": "732-549-3230",
            "fax_number": "732-549-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAM",
        "first_name": "DAVID",
        "middle_name": "K P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2009-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA02277300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2756005",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON",
            "identifier": "56715",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "8694799",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1145419005",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "OK7898",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Tahlor, MD
• Takeoff Express Inc
• Binny Talati, PT, DPT
• Nishi S Talati, DMD
• Talbot a. Sklar, DDS, PA
• Yishu Tam
• Aimen Tameezuddin
• Manuel Ramos Tan, MD
• Martin Tan, MD
• Bo Tang, MD

• Specialist in Edison, NJ
• Providers in Edison, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.