Individual provider Active NPI

Jocelyn Tan, JOCELYN TAN

  • Prosthodontics
  • New York, NY
National Provider Identifier
1740429257
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
053229-1 Issued in NY
Practice address
630 5TH Ave Ste 1810
New York, NY 10111-1877
Phone
(917) 608-4985
NPI assigned
Feb 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 053229-1 NY Primary

Addresses

Primary practice location

630 5TH Ave Ste 1810
New York, NY 10111-1877

Mailing address

30 Central Park S RM 2C
New York, NY 10019-1628
Phone (917) 608-4985

Other names 1

  • Dr. Huiping Tan Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
053229-1NYMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1234051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1740429257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CENTRAL PARK S RM 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191628",
            "telephone_number": "917-608-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 5TH AVE STE 1810",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101111877",
            "telephone_number": "917-608-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "JOCELYN",
        "name_prefix": "Dr.",
        "credential": "JOCELYN TAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-08",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "053229-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HUIPING",
            "last_name": "TAN",
            "prefix": "DR.",
            "credential": "JOCELYN HUIPING TAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.