Organization Active NPI

J & M Tang MDS & Associates, SC

  • Internal Medicine Physician
  • Oak Lawn, IL
National Provider Identifier
1407969199
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
J & M TANG MDS & ASSOCIATES, SC
Practice address
9710 Southwest Hwy
Oak Lawn, IL 60453-3615
Phone
(708) 424-2082
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Authorized official

Name
Dr. Juelin Tang, M.D.NPI 1033183793
Title
President
Phone
(708) 424-2082

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X IL Primary

Addresses

Primary practice location

9710 Southwest Hwy
Oak Lawn, IL 60453-3615

Mailing address

9710 Southwest Hwy
Oak Lawn, IL 60453-3615
Phone (708) 424-2082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050420000690 IL Part B Supplier - Clinic/Group Practice 3072551050 Receives reassigned benefits from 2 practitioners
Practice locations: Oak Lawn, IL

National Provider Directory

National Provider Directory

Locations

5265 W 95th St
Oak Lawn, IL 60453
Phone (708) 424-2082

9710 Southwest Hwy
Oak Lawn, IL 60453
Phone (708) 424-2082

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHGEBA

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1407969199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 SOUTHWEST HWY",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533615",
            "telephone_number": "708-424-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 SOUTHWEST HWY",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533615",
            "telephone_number": "708-424-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & M TANG MDS & ASSOCIATES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "JUELIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-424-2082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.