Minyi Tan, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

269249 Issued in NY

Practice address

3 Edmund D Pellegrino Rd
Stony Brook Anaesthesiology - Pain Management Center
Stony Brook, NY 11794-9464

Phone

(631) 638-0800

Fax

(631) 638-0765

NPI assigned

Apr 8, 2009

Last updated

Sep 16, 2015By the provider in NPPES

Sex

Female

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

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

Specialty

AnesthesiologyAlso: Pain Management

Education

State University of New York at Stony Brook, School of Medicine, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Newtown Gastroenterology PCGroup PAC ID 4587044375, 12 clinicians

GT Medical PCGroup PAC ID 9931480753, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

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

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.

• GT Medical PC

  dba Queens Medical Wellness Center

  • Pain Medicine (Anesthesiology) Physician
  • Elmhurst, NY
  • NPI 1437507779
  Medicare reassignment Care Compare group NPD
• Newtown Gastroenterology PC

  • Gastroenterology Physician
  • Elmhurst, NY
  • NPI 1134868045
  Medicare reassignment Care Compare group NPD
• Agi Medical PLLC

  • Specialist
  • Brooklyn, NY
  • NPI 1730322645
  Medicare reassignment NPD
• Merrick Medical Care PLLC

  • Ambulatory Surgical Clinic/Center
  • Merrick, NY
  • NPI 1821399981
  Medicare reassignment NPD
• North American Partners in Anesthesia LLP

  • Anesthesiology Physician
  • Melville, NY
  • NPI 1649264706
  NPD
• MK Anesthesia Services PLLC

  • Anesthesiology Physician
  • Brooklyn, NY
  • NPI 1922751254
  NPD (past)
• Coastal Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Neptune, NJ
  • NPI 1316219470
  NPD (past)

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1801039789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1554",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 EDMUND D PELLEGRINO RD",
            "address_2": "STONY BROOK ANAESTHESIOLOGY - PAIN MANAGEMENT CENTER",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117949464",
            "telephone_number": "631-638-0800",
            "fax_number": "631-638-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "MINYI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-08",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "269249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mir Omer Talpur, MBBS
• Edlira Tam, D.O.
• Justina Tam, M.D.
• Jawad Tamimi
• Fenita Tan
• Venessa Chua Tan, MD, MPH
• Matthew Vincent Tanzi, MD
• Veronica Gabriela Tapia, M.D.
• Victor Tarsia, M.D.
• Apostolos Tassiopoulos, M.D.

• Pain Medicine (Anesthesiology) Physician in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Pain Medicine (Anesthesiology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.