Active NPI
Heng Soon Tan, MD
- Internal Medicine Physician
- Newton, MA
National Provider Identifier
1700837077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 39787
- Practice address
- 272 Centre St
Brigham and Womens at Newton Corner
Newton, MA 02458 - Phone
- (617) 796-7170
- Fax
- (617) 796-7171
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 39787 | MA | Primary |
Addresses
Primary practice location
272 Centre St
Brigham and Womens at Newton Corner
Newton, MA 02458
Mailing address
272 Centre St
Brigham and Womens at Newton Corner
Newton, MA 02458
Phone (617) 796-7170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186531200000",
"number": "1700837077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 CENTRE ST",
"address_2": "BRIGHAM AND WOMENS AT NEWTON CORNER",
"city": "NEWTON",
"state": "MA",
"postal_code": "02458",
"telephone_number": "617-796-7170",
"fax_number": "617-796-7171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "272 CENTRE ST",
"address_2": "BRIGHAM AND WOMENS AT NEWTON CORNER",
"city": "NEWTON",
"state": "MA",
"postal_code": "02458",
"telephone_number": "617-796-7170",
"fax_number": "617-796-7171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "HENG",
"middle_name": "SOON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2007-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "39787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.