Loreto Vergara Tanael, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

1138351 Issued in NY

Practice address

3245 Nostrand Ave
Kings Hwy Center
Brooklyn, NY 11229

Phone

(718) 615-3777

Fax

(718) 615-3481

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770678005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 NOSTRAND AVE",
            "address_2": "ATTENTION CELESTE JACKSON",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11205",
            "telephone_number": "718-826-3911",
            "fax_number": "718-826-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 NOSTRAND AVE",
            "address_2": "KINGS HWY CENTER",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "718-615-3777",
            "fax_number": "718-615-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANAEL",
        "first_name": "LORETO",
        "middle_name": "VERGARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "1138351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wei Yan Tan, MD
• Yongxia Tan
• Zachary Tan, DO
• Zachary A Tan, MD
• Zhi Chen Tan
• Marieta S Tanael, MD
• Melissa Lucero Tanaka, MD
• Takaki Tanamoto, M.D.
• Danielle Tanamy, MASTER'S DEGREE
• Sherry Tanamy, MSSPED

• Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.

Verify at the official NPI Registry.