Angelito D. Tan, M.D., PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

126705 Issued in NY

Legal business name

ANGELITO D. TAN, M.D., PC

Practice address

2000 N Village Ave
Ste 202
Rockville Centre, NY 11570-1078

Phone

(516) 536-5511

Fax

(516) 536-5579

NPI assigned

Sep 19, 2007

Last updated

Sep 21, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Angelito Durano Tan, M.D.NPI 1831115179

Title

Owner

Phone

(516) 536-5511

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angelito Durano Tan, MD

  • Neurology Physician
  • Rockville Centre, NY
  • NPI 1831115179
  Authorized official Same address or phone

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1801082219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N VILLAGE AVE",
            "address_2": "STE 202",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701078",
            "telephone_number": "516-536-5511",
            "fax_number": "516-536-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N VILLAGE AVE",
            "address_2": "STE 202",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701078",
            "telephone_number": "516-536-5511",
            "fax_number": "516-536-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELITO D. TAN, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "ANGELITO",
        "authorized_official_middle_name": "DURANO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-536-5511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "126705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Anderson, MS, OTR
• Stanley S. Anderson, D.C.
• Bernard Andre, RPA-C
• Rayana Angelillo, LCSW
• Kenneth Lee Angelino, M.D.
• Anne Chapman Kane PHD PC
• Annette Baggott MD PC
• Nicole Anselme, RN
• Diana G. Antonio, O.D.
• Sharlet Antony, PHARM. D

• Neurology Physician in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.