NPIMap

Individual provider Active NPI

Patricia Ting Tan, M.D.

  • Pediatric Rehabilitation Medicine Physician
  • Baldwin, NY
National Provider Identifier
1821086737
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X
License
190003 Issued in NY
Practice address
1158 Atlantic Ave
Baldwin, NY 11510
Phone
(516) 252-9262
Fax
(516) 868-0685
NPI assigned
Oct 13, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 190003 NY
Pediatric Rehabilitation Medicine Physician 2081P0010X 190003 NY Primary

Addresses

Primary practice location

1158 Atlantic Ave
Baldwin, NY 11510

Mailing address

1158 Atlantic Ave
Baldwin, NY 11510-4205
Phone (516) 252-9262

Other practice location 1

250 Marcus Blvd
Hauppauge, NY 11788-2018
Phone (631) 439-4300

Other identifiers 1

IdentifierTypeStateIssuer
01579060MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040322001488 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Pediatric Medicine 2567359573 Reassigns benefits to 4 organizations
Practice locations: Baldwin, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pediatric Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

301 E 17TH St
New York, NY 10003-3804
Phone (212) 263-7300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Physical Medicine & Rehabilitation CurrentSince May 1, 2022 Accepting new patients
CHS Physician Partners, P.C CurrentSince Jan 14, 2019 Accepting new patients
New York University Physical Medicine & Rehabilitation CurrentSince May 1, 2022 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
St Charles Hospital Corp CurrentSince Mar 19, 2019 Accepting new patients
CHS Physician Partners, PC CurrentSince Jan 14, 2019 Accepting new patients
All Care Physical Therapy & Rehabilitation Services PC PastSince Oct 9, 2006 Accepting new patients
Advanced Rehabilitation Medicine PLLC. PastSince Jan 1, 2002 Accepting new patients
Mark Medical Care Nassau PLLC PastSince Sep 6, 2015 Accepting new patients
Mark Medical Care, PLLC PastSince Feb 4, 2018 Accepting new patients

Locations

1895 Walt Whitman Rd
Melville, NY 11747
Phone (631) 249-9525

222 Station Plz N
Ste 611
Mineola, NY 11501
Phone (516) 663-2532

301 E 17th St
New York, NY 10003
Phone (212) 460-0125

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

200 Belle Terre Rd
Ste E140
Prt Jefferson, NY 11777
Phone (631) 474-6049

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

Networks

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

Interoperability endpoints

  • Direct secure messaging: ptan307756@nyumc.direct-ci.com
  • Direct secure messaging: ptan47234@direct-chsli.net

Organizations & group practices 10

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821086737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 ATLANTIC AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104205",
            "telephone_number": "516-252-9262",
            "fax_number": "516-868-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 ATLANTIC AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "11510",
            "telephone_number": "516-252-9262",
            "fax_number": "516-868-0685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Marcus Blvd",
            "address_purpose": "LOCATION",
            "city": "Hauppauge",
            "state": "NY",
            "postal_code": "117882018",
            "country_code": "US",
            "telephone_number": "631-439-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAN",
        "first_name": "PATRICIA",
        "middle_name": "TING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "190003",
            "primary": false
        },
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "NY",
            "license": "190003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01579060",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, NY

Sources for this page

Verify at the official NPI Registry.