Individual provider Active NPI

Justin Tang, M.D.

  • Radiation Oncology Physician
  • Bronx, NY
National Provider Identifier
1619385747
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
297914 Issued in NY
Practice address
111 E 210TH St
Bronx, NY 10467-2401
Phone
(718) 920-4321
NPI assigned
Aug 1, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Radiation Oncology Physician 2085R0001X 297914 NY Primary

Addresses

Primary practice location

111 E 210TH St
Bronx, NY 10467-2401

Mailing address

111 E 210TH St
Bronx, NY 10467-2401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190821004294 NY Practitioner - Radiation Oncology 9436487931 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Albert Einstein College of Medicine of Yeshiva University, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians
The New York Proton CenterGroup PAC ID 2466780218, 45 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

225 E 126TH St
New York, NY 10035-1406
Phone (646) 968-9064

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
43.79 of 100Reported as group
Quality
29.93
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Cornwall JV, LLC Radiation Oncology CurrentSince Sep 1, 2021 Accepting new patients
The New York Proton Center Radiation Oncology CurrentSince Mar 1, 2021 Accepting new patients
Montefiore Medical Center CurrentSince Jul 12, 2019 Accepting new patients
Montefiore Medical Center CurrentSince Jul 12, 2019 Accepting new patients
Montefiore Nyack Hospital Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1521 Jarret Pl
Bronx, NY 10461
Phone (718) 239-8733

1625 Poplar St
Bronx, NY 10461
Phone (718) 405-8440

4487 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730

2300 Westchester Ave
Bronx, NY 10462
Phone (718) 409-8000

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

2532 Grand Concourse
Bronx, NY 10458
Phone (718) 960-1500

951 Brook Ave
Bronx, NY 10451
Phone (914) 629-0989

15 Laurel Ave
Cornwall, NY 12518
Phone (914) 849-7655

15 Laurel Ave
#100
Cornwall, NY 12518
Phone (845) 458-9000

225 E 126th St
New York, NY 10035
Phone (646) 813-1880

111 N Highland Ave
Nyack, NY 10960
Phone (845) 639-6178

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

1010 Central Park Ave
Yonkers, NY 10704
Phone (914) 964-4000

Networks

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

Interoperability endpoints

  • Direct secure messaging: justintang@nypc.allscriptsdirect.net
  • Direct secure messaging: jtang@montefioredirect.com

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.

Hospital & facility affiliations 3

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": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1619385747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401",
            "telephone_number": "718-920-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-01",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "297914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.