Active NPI
Martin Tan, MD
- Anesthesiology Physician
- Edison, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MA61486
- Practice address
- 2 Lincoln Highway
Suite 500
Edison, NJ 08820 - Phone
- (732) 494-1444
- NPI assigned
- Sep 27, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MA61486 | NJ | Primary |
Addresses
Primary practice location
2 Lincoln Highway
Suite 500
Edison, NJ 08820
Mailing address
PO Box 2029
Menlo Park Station
Edison, NJ 08818-2029
Phone (732) 494-1444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6532004 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
561 Cranbury Rd
East Brunswick, NJ 08816-5400
Phone (201) 620-3010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA61486 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Parkway Anesthesia Associates LLC | Anesthesiology | Current | Accepting new patients |
| New Jersey Healthcare Specialists PC | Anesthesiology | Current | Accepting new patients |
| Morris Anesthesia Group, PA | Anesthesiology | Past | Accepting new patients |
Locations
495 Jack Martin Blvd
Ste 1
Brick, NJ 08724
Phone (732) 836-9800
561 Cranbury Rd
East Brunswick, NJ 08816
Phone (201) 620-3010
225 May St
Unit C
Edison, NJ 08837
Phone (732) 661-0570
65 James St
Edison, NJ 08820
Phone (732) 321-7010
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- East Brunswick, NJ
- NPI 1063151546
-
- Anesthesiology Physician
- Hackensack, NJ
- NPI 1174585780
-
- Anesthesiology Physician
- North Bergen, NJ
- NPI 1518319755
-
- Anesthesiology Physician
- Parsippany, NJ
- NPI 1194728501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457442162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2029",
"address_2": "MENLO PARK STATION",
"city": "EDISON",
"state": "NJ",
"postal_code": "088182029",
"telephone_number": "732-494-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 LINCOLN HIGHWAY",
"address_2": "SUITE 500",
"city": "EDISON",
"state": "NJ",
"postal_code": "08820",
"telephone_number": "732-494-1444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "MARTIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "MA61486",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6532004",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.