Individual provider Active NPI

Wei Seong Tan, M.D

  • Pediatrics Physician
  • New Hyde Park, NY
National Provider Identifier
1750765749
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
294532 Issued in NY
Practice address
26901 76TH Ave Ste 255
New Hyde Park, NY 11040-1433
Phone
(718) 470-3460
Fax
(718) 343-4642
NPI assigned
Jul 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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 294532 NY Primary
Pediatric Hematology & Oncology Physician 2080P0207X 294532 NY

Addresses

Primary practice location

26901 76TH Ave Ste 255
New Hyde Park, NY 11040-1433

Mailing address

26901 76TH Ave Ste 255
New Hyde Park, NY 11040-1433
Phone (718) 470-3460

Other practice location 1

4211 Kissena Blvd Apt 1C
Flushing, NY 11355-3221
Phone (718) 886-0068

Other practice location 2

13617 39th Ave Ste Cf-E
Flushing, NY 11354-5504
Phone (718) 559-3600

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210923003140 NY Practitioner - Pediatric MedicinePractitioner - Hematology/Oncology 6608117064 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Jul 1, 2021 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jul 1, 2021 Accepting new patients
Chinatown True Care Medical PLLC Pediatrics CurrentSince Dec 15, 2023 Accepting new patients

Locations

4211 Kissena Blvd
Apt 1C
Flushing, NY 11355
Phone (718) 886-0068

13527 38th Ave
Fl 2
Flushing, NY 11354
Phone (718) 362-6966

4235 Main St
Ste 3E
Flushing, NY 11355
Phone (718) 886-5068

13617 39th Ave
Ste Cfe
Flushing, NY 11354
Phone (718) 559-3600

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

26901 76th Ave
Ste 255
New Hyde Park, NY 11040
Phone (718) 470-3000

168 Centre St
Fl 2
New York, NY 10013
Phone (212) 966-8286

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1750765749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 76TH AVE STE 255",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401433",
            "telephone_number": "718-470-3460",
            "fax_number": "718-343-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26901 76TH AVE STE 255",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401433",
            "telephone_number": "718-470-3460",
            "fax_number": "718-343-4642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4211 Kissena Blvd Apt 1C",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113553221",
            "country_code": "US",
            "telephone_number": "718-886-0068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13617 39th Ave Ste Cf-E",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113545504",
            "country_code": "US",
            "telephone_number": "718-559-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAN",
        "first_name": "WEI SEONG",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-20",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "294532",
            "primary": true
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NY",
            "license": "294532",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.