Active NPI
Hui Ting Tan, MD
- Pediatrics Physician
- Burlington, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA11902900
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11902900 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooper Pediatrics | Pediatrics | Current | Accepting new patients |
| Nemours New Jersey Physician Practice, P.C. | Pediatrics | Current | 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
- hui.ting.tan.1@478.direct.athenahealth.com
- erica.tan.1@8042.direct.athenahealth.com
- 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.
-
- Pediatrics Physician
- Camden, NJ
- NPI 1144268277
-
- Pediatrics Physician
- Deptford, NJ
- NPI 1265874713
-
- Pediatrics Physician
- Camden, NJ
- NPI 1306867585
-
- General Acute Care Hospital
- Vineland, NJ
- NPI 1164487542
-
- Pediatrics Physician
- Cumberland, MD
- NPI 1992836167
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.