Individual provider Active NPI

Michael Huan Tang, M.D.

  • Child & Adolescent Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1598932097
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
243541 Issued in MA
Practice address
495 Flatbush Ave Ste C5
Brooklyn, NY 11225-3706
Phone
(617) 775-0088
NPI assigned
May 13, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 243541 MA
Psychiatry Physician 2084P0800X 243541 MA
Child & Adolescent Psychiatry Physician 2084P0804X 243541 MA Primary

Addresses

Primary practice location

495 Flatbush Ave Ste C5
Brooklyn, NY 11225-3706

Mailing address

495 Flatbush Ave Ste C5
Brooklyn, NY 11225-3706
Phone (617) 775-0088

Other identifiers 1

IdentifierTypeStateIssuer
243541OtherMAACTIVE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NC, NY, OH, IN, IL, MI, FL8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20110914000720 MA Practitioner - PsychiatryPractitioner - Pediatric Medicine 8729259197
I20210805001270 NC Practitioner - Psychiatry 8729259197 Reassigns benefits to 1 organization
I20211009000108 NY Practitioner - Psychiatry 8729259197 Reassigns benefits to 1 organization
I20220913000636 OH Practitioner - Psychiatry 8729259197 Reassigns benefits to 1 organization
I20231226001076 IN Practitioner - Psychiatry 8729259197 Reassigns benefits to 1 organization
I20240211000080 IL Practitioner - PsychiatryPractitioner - Neurology 8729259197 Reassigns benefits to 1 organization
I20251107000682 MI Practitioner - Psychiatry 8729259197 Reassigns benefits to 1 organization
I20251128000719 FL Practitioner - Psychiatry 8729259197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Harvard Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

495 Flatbush Ave
Brooklyn, NY 11225-3706

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Oct 1, 2021 Accepting new patients
Cityblock Medical Practice, P.a. Psychiatry CurrentSince Jan 1, 2023 Accepting new patients
Cityblock Medical Practice, LLC CurrentSince Sep 1, 2022 Accepting new patients
Advantagecare Physicians PC CurrentSince Oct 1, 2021 Accepting new patients
North Suffolk Community Services Inc. PastSince Oct 20, 1997 Accepting new patients

Locations

15416 N Florida Ave
Ste 203
Tampa, FL 33613
Phone (347) 463-5529

16115 La Salle St
South Holland, IL 60473
Phone (347) 463-5529

155 Federal St
Ste 700
Boston, MA 02110
Phone (469) 466-7420

186 N Main St
Fl 2
Plymouth, MI 48170
Phone (248) 602-3303

4444 The Plaza
Charlotte, NC 28215
Phone (336) 360-2407

4444 The Plaza
Unit 18
Charlotte, NC 28215

1439 E Cone Blvd
Greensboro, NC 27405
Phone (336) 375-6104

55 Water St
#4C
Brooklyn, NY 11201
Phone (917) 718-2063

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (215) 588-1676

546 Eastern Pkwy
Brooklyn, NY 11225
Phone (718) 604-4800

101 Pennsylvania Ave
Brooklyn, NY 11207
Phone (718) 240-2000

495 Flatbush Ave
Brooklyn, NY 11225
Phone 80033611001

800 N High St
Ste 4102
Columbus, OH 43215
Phone (347) 463-5529

Networks

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

Interoperability endpoints

  • Direct secure messaging: michael.tang.1@27775.direct.athenahealth.com
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1598932097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 FLATBUSH AVE STE C5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253706",
            "telephone_number": "617-775-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 FLATBUSH AVE STE C5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253706",
            "telephone_number": "617-775-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "MICHAEL",
        "middle_name": "HUAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "243541",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "243541",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "243541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACTIVE LICENSE",
            "identifier": "243541",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.