Active NPI
Justin Tang, M.D.
- Radiation Oncology Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 297914
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 29.93
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke'S Cornwall JV, LLC | Radiation Oncology | Current | Accepting new patients |
| The New York Proton Center | Radiation Oncology | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | 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
- justintang@nypc.allscriptsdirect.net
- 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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Radiation Oncology Clinic/Center
- New York, NY
- NPI 1609363670
-
- Radiation Oncology Physician
- Cornwall, NY
- NPI 1558503656
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- General Acute Care Hospital
- Nyack, NY
- NPI 1104808062
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
-
- General Acute Care Hospital
- Mount Vernon, NY
- NPI 1992131320
-
- General Acute Care Hospital
- Nyack, NY
- NPI 1104808062
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.