Steven Tam, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

042748 Issued in NY

Practice address

4225 80TH St
Ste la
Elmhurst, NY 11373-3022

Phone

(718) 592-1885

Fax

(718) 592-2034

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1639205602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 80TH ST",
            "address_2": "STE LA",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733022",
            "telephone_number": "718-592-1885",
            "fax_number": "718-592-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 80TH ST",
            "address_2": "STE LA",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733022",
            "telephone_number": "718-592-1885",
            "fax_number": "718-592-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAM",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yong Suk Tak, MD CPMR
• Anisha Talati
• Om Naresh Talreja, PHARM.D.
• Alex Tam
• Stephen Tam, DPT
• Elizabeth Tamayao
• Remalyn Tampepe
• Aya Dominique Lauague Tan, PT
• Benson Larri Geroy Tan
• Frank Y Tan

• General Practice Dentistry in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.