Active NPI
Linfung Vivien Tam, DO
- Pediatrics Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 294077
- Practice address
- 525 E 68TH St
New York, NY 10065-4870 - Phone
- (646) 962-5437
- NPI assigned
- Mar 2, 2018
- Last updated
- Sep 8, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 294077 | NY | Primary |
Addresses
Primary practice location
525 E 68TH St
New York, NY 10065-4870
Mailing address
525 E 68TH St
New York, NY 10065-4870
Other practice location 1
125 Paterson St # 308
New Brunswick, NJ 08901-1962
Phone (732) 235-7883
Other practice location 2
150 55th St
Brooklyn, NY 11220-2508
Phone (718) 630-8543
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ltam299362@nyumc.direct-ci.com |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| Weill Medical College of Cornell | Pediatrics | Current | Accepting new patients |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| New York University | Pediatrics | Current | Accepting new patients |
| Weill Medical College of Cornell | Pediatrics | Current | Accepting new patients |
| Rutgers Robert Wood Johnson Medical School | Past | Accepting new patients | |
| NYU Langone Hospitals | Past | Accepting new patients |
Locations
150 55th St
Brooklyn, NY 11220
Phone (718) 630-7123
170 William St
New York, NY 10038
Phone (212) 238-0100
525 E 68th St
New York, NY 10065
Phone (212) 746-2846
525 E 68th St
#M6
New York, NY 10065
Phone (212) 746-3558
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- ltam299362@nyumc.direct-ci.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY, Pediatrics
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
dba CUMC Pediatrics
- Pediatrics Physician
- New York, NY
- NPI 1629018205
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- Children's Hospital
- New Brunswick, NJ
- NPI 1487192241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1710489919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 E 68TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100654870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 E 68TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100654870",
"telephone_number": "646-962-5437"
}
],
"practiceLocations": [
{
"address_1": "125 Paterson St # 308",
"address_purpose": "LOCATION",
"city": "New Brunswick",
"state": "NJ",
"postal_code": "089011962",
"country_code": "US",
"telephone_number": "732-235-7883",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "150 55th St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112202508",
"country_code": "US",
"telephone_number": "718-630-8543",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAM",
"first_name": "LINFUNG",
"middle_name": "VIVIEN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-02",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "294077",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ltam299362@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "150 55th St",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112202508",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.