NPIMap

Individual provider Active NPI

Marcel Kleber Tafen Wandji, MD

  • Surgical Critical Care Physician
  • Kingston, NY
National Provider Identifier
1386754414
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
272582 Issued in NY
Practice address
396 Broadway
Kingston, NY 12401-4626
Phone
(845) 331-3131
NPI assigned
Aug 30, 2006
Last updated
Mar 31, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X 272582 NY Primary
Trauma Surgery Physician 2086S0127X 272582 NY

Addresses

Primary practice location

396 Broadway
Kingston, NY 12401-4626

Mailing address

47 New Scotland Ave
Albany Medical Center MC 194
Albany, NY 12208-3412
Phone (518) 262-0941

Other practice location 1

47 New Scotland Ave
Albany Medical Center MC 194
Albany, NY 12208-3412
Phone (518) 262-0941

Other names 1

  • Dr. Marcel Tafen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131217000388 NY Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 1951538024 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

50 New Scotland Ave
Albany, NY 12208-3403
Phone (518) 262-9777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Associates PC CurrentSince Apr 30, 2023 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Oct 9, 2013 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Jun 1, 2019 Accepting new patients
Albany Medical College Trauma Surgery CurrentSince Oct 9, 2013 Accepting new patients
Albany Medical College Current Accepting new patients
United Medical Associates, P.C. CurrentSince Apr 30, 2023 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Mar 1, 2021 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Mar 1, 2021 Accepting new patients
Albany Medical Center Hospital Past Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

47 New Scotland Ave
#194
Albany, NY 12208
Phone (518) 262-0941

50 New Scotland Ave
Albany, NY 12208
Phone (518) 262-0940

71 Prospect Ave
Ste 210
Hudson, NY 12534
Phone (518) 828-2565

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

396 Broadway
Kingston, NY 12401
Phone (845) 331-3131

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Interoperability endpoints

  • Direct secure messaging: mtafenwandji30018@albanymed.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1386754414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE",
            "address_2": "ALBANY MEDICAL CENTER MC 194",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-0941",
            "fax_number": "518-262-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 BROADWAY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014626",
            "telephone_number": "845-331-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 New Scotland Ave",
            "address_2": "Albany Medical Center MC 194",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083412",
            "country_code": "US",
            "telephone_number": "518-262-0941",
            "fax_number": "518-262-4934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAFEN WANDJI",
        "first_name": "MARCEL KLEBER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NY",
            "license": "272582",
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NY",
            "license": "272582",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCEL",
            "last_name": "TAFEN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.