Individual provider Active NPI

Chenyu Tan, APN

  • Family Nurse Practitioner
  • Morristown, NJ
National Provider Identifier
1538908645
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15024400 Issued in NJ
Practice address
95 Madison Ave Ste 306
Morristown, NJ 07960-6389
Phone
(973) 695-8033
NPI assigned
May 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15024400 NJ Primary

Addresses

Primary practice location

95 Madison Ave Ste 306
Morristown, NJ 07960-6389

Mailing address

95 Madison Ave Ste 306
Morristown, NJ 07960-6389
Phone (917) 455-7543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240724001683 NJ Practitioner - Nurse Practitioner 8325584519 Reassigns benefits to 1 organization
I20260429000034 NY Practitioner - Nurse Practitioner 8325584519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

818 55TH St
FL 1
Brooklyn, NY 11220-3213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ15024400NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Epilepsy & Neurophysiology Medical Consultants, PA Family CurrentSince Jun 10, 2024 Accepting new patients
Epilepsy & Neurophysiology Medical Consultants PA CurrentSince Jun 10, 2024 Accepting new patients

Locations

20 Prospect Ave
Ste 800
Hackensack, NJ 07601
Phone (201) 343-6676

200 S Orange Ave
Ste 275
Livingston, NJ 07039
Phone (732) 235-6333

310 Madison Ave
Ste 302
Morristown, NJ 07960
Phone (973) 695-8033

95 Madison Ave
Ste 306
Morristown, NJ 07960
Phone (973) 695-8033

333 Westchester Ave
Ste E104
White Plains, NY 10604
Phone (914) 428-9213

Interoperability endpoints

  • Direct secure messaging: ctan541883@direct.ahsys.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1538908645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MADISON AVE STE 306",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606389",
            "telephone_number": "917-455-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MADISON AVE STE 306",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606389",
            "telephone_number": "973-695-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "CHENYU",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15024400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.