Individual provider Active NPI

Carlyn Rose Co Tan, M.D.

  • Medical Oncology Physician
  • New York, NY
National Provider Identifier
1538448980
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
302078 Issued in NY
Practice address
530 E 74TH St
New York, NY 10021-3459
Phone
(646) 608-3778
Fax
(929) 321-8154
NPI assigned
Aug 16, 2011
Last updated
May 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Medical Oncology Physician 207RX0202X MD454134 PA
Medical Oncology Physician 207RX0202X 302078 NY Primary

Addresses

Primary practice location

530 E 74TH St
New York, NY 10021-3459

Mailing address

530 E 74TH St
New York, NY 10021-3459
Phone (646) 608-3778

Other practice location 1

333 Cottman Ave
Philadelphia, PA 19111-2434
Phone (215) 728-2500

Other practice location 2

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-5161

Other names 1

  • Dr. Chun-Pin Chen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20171016001591 PA Practitioner - Hematopoietic Cell Transplantation and Cellular TherapyPractitioner - Medical Oncology 6800180431
I20200325002539 NY Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Hematopoietic Cell Transplantation and Cellular Therapy 6800180431 Reassigns benefits to 1 organization
I20200331001246 NJ Practitioner - Hematology/OncologyPractitioner - Hematopoietic Cell Transplantation and Cellular Therapy 6800180431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Hematopoietic Cell Transplantation and Cellular Therapy, Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MSK MonmouthGroup PAC ID 1153619291, 300 clinicians

Practice addresses (Care Compare)

1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000

480 Red Hill Rd
Middletown, NJ 07748-3052
Phone (908) 542-3007

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
80.94
Improvement activities
40
Cost
65.19

Merit-based Incentive Payment System (MIPS)

Final score
79.57 of 100Reported as group
Quality
70.48
Improvement activities
40
Cost
69.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
302078NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hematology Lymphoma Group Medical Oncology CurrentSince Mar 1, 2020 Accepting new patients
Memorial Hematology Lymphoma Group Medical Oncology CurrentSince Mar 1, 2020 Accepting new patients
MSK Monmouth Medical Oncology CurrentSince Mar 1, 2020 Accepting new patients
Memorial Hospital for Cancer and Allied Diseases Past Accepting new patients

Locations

480 Red Hill Rd
Middletown, NJ 07748
Phone (908) 542-3007

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000

Networks

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

Interoperability endpoints

  • Direct secure messaging: ctan26055@mskcc.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1538448980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E 74TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213459",
            "telephone_number": "646-608-3778",
            "fax_number": "929-321-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E 74TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213459",
            "telephone_number": "646-608-3778",
            "fax_number": "929-321-8154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Cottman Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191112434",
            "country_code": "US",
            "telephone_number": "215-728-2500",
            "fax_number": "215-728-3639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8700 Beverly Blvd",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "900481804",
            "country_code": "US",
            "telephone_number": "310-423-5161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAN",
        "first_name": "CARLYN ROSE",
        "middle_name": "CO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "PA",
            "license": "MD454134",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NY",
            "license": "302078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHUN-PIN",
            "last_name": "CHEN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.