Active NPI
Jessica Tang
- Registered Nurse
- Elmira, NY
National Provider Identifier
1497580450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 926688
- Practice address
- 100 Washington St
Elmira, NY 14901-2849 - Phone
- (607) 737-4711
- NPI assigned
- Sep 7, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 926688 | NY | Primary |
Addresses
Primary practice location
100 Washington St
Elmira, NY 14901-2849
Mailing address
762 Khan Crescent
Mississauga, ONTARIO L5V2R1
CA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 926688 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725667200000",
"number": "1497580450",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "762 KHAN CRESCENT",
"city": "MISSISSAUGA",
"state": "ONTARIO",
"postal_code": "L5V2R1"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WASHINGTON ST",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149012849",
"telephone_number": "607-737-4711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANG",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-07",
"last_updated": "2024-09-07",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "926688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.