Individual provider Active NPI

Hui Ting Tan, MD

  • Pediatrics Physician
  • Burlington, NJ
National Provider Identifier
1699290551
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA11902900 Issued in NJ
Practice address
1900 Mount Holly Rd
Burlington, NJ 08016-4722
Phone
(856) 342-2000
NPI assigned
Aug 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA11902900 NJ Primary
Pediatrics Physician 208000000X D0089112 MD

Addresses

Primary practice location

1900 Mount Holly Rd
Burlington, NJ 08016-4722

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Other practice location 1

915 Bishop Walsh Rd
Cumberland, MD 21502-1850
Phone (301) 777-2722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20230912002230 NJ Practitioner - Pediatric MedicinePractitioner - Hospitalist 2668837634 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11902900NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Pediatrics Pediatrics CurrentSince Dec 18, 2025 Accepting new patients
Nemours New Jersey Physician Practice, P.C. Pediatrics CurrentSince Aug 24, 2023 Accepting new patients
Cooper Pediatric Specialists, PC Pediatrics Past Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients
Menchavez Pediatrics, LLC Pediatrics Past Accepting new patients

Locations

1900 Mount Holly Rd
Ste 1B
Burlington, NJ 08016
Phone (609) 239-0306

1900 Mount Holly Rd
Burlington, NJ 08016
Phone (609) 387-0325

1 Federal St
Ste 200
Camden, NJ 08103
Phone (848) 288-6935

3 Cooper Plz
Rm 520
Camden, NJ 08103
Phone (856) 342-2298

3 Cooper Plz
Rm 200
Camden, NJ 08103
Phone (609) 342-2001

700 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (856) 508-1000

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

1280 Almonesson Rd
Woodbury, NJ 08096
Phone (856) 345-1401

Interoperability endpoints

  • Direct secure messaging: hui.ting.tan.1@478.direct.athenahealth.com
  • Direct secure messaging: erica.tan.1@8042.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/478/brand/1/csg/1/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": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1699290551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MOUNT HOLLY RD",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164722",
            "telephone_number": "856-342-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Bishop Walsh Rd",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215021850",
            "country_code": "US",
            "telephone_number": "301-777-2722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAN",
        "first_name": "HUI TING",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA11902900",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0089112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NJ

Sources for this page

Verify at the official NPI Registry.