Kenneth C. Tam, M.D., F.a.C.C., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

173277 Issued in NY

Legal business name

KENNETH C. TAM, M.D., F.A.C.C., P.C.

Practice address

217 Grand St
9TH Floor
New York, NY 10013-4286

Phone

(212) 233-8813

Fax

(212) 267-3303

NPI assigned

May 31, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lucy Dai, R.N.

Title

Office Manager

Phone

(212) 233-8813

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548462856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 GRAND ST",
            "address_2": "9TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134286",
            "telephone_number": "212-233-8813",
            "fax_number": "212-267-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 GRAND ST",
            "address_2": "9TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134286",
            "telephone_number": "212-233-8813",
            "fax_number": "212-267-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH C. TAM, M.D., F.A.C.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAI",
        "authorized_official_first_name": "LUCY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "212-233-8813",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "173277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01485625",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Kennelly, PT, DPT
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• Kenneth C Vitale MD, P.C.
• Kenneth Levey Medical PC (Mother Goose Medical Services)
• Kenneth Liao, M.D. L.L.C.
• Kenneth M. Rose, M.D.,
• Kenneth M. Rose, M.D., PLLC
• Kenneth Meisler DPM PLLC

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.