Kathy Shaobing Tan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

233820 Issued in NY

Practice address

5324 7TH Ave
Brooklyn, NY 11220-3121

Phone

(718) 686-6888

Fax

(718) 686-6887

NPI assigned

Mar 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Shaobing Tan Former name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IJFCAD/Endpoint/IJFCAD
• Direct secure messaging: kathy.tan@ktmo.eclinicaldirectplus.com

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.

• Huashi Eyewear

  dba JC Optical

  • Optometrist
  • Brooklyn, NY
  • NPI 1104298710
  NPD (past)
• Huashi Eyewear

  dba J&C optical

  • Optician
  • Brooklyn, NY
  • NPI 1326494287
  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477521409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5324 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203121",
            "telephone_number": "718-686-6888",
            "fax_number": "718-686-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5324 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203121",
            "telephone_number": "718-686-6888",
            "fax_number": "718-686-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "KATHY",
        "middle_name": "SHAOBING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "233820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAOBING",
            "last_name": "TAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Helen Tan
• Jasmine Tan
• Jennifer Tan
• Jia Ming Tan, OTR/L
• Juan Tan
• Kelly Tan
• Kevin Tan
• Laura Tan
• Lei Collette Ong Tan
• Lyla Tan, PHARMD, RPH

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.