Roman Nolasco Tan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

021186-1 Issued in NY

Practice address

81 Elizabeth St Ste 602
New York, NY 10013-4729

Phone

(212) 219-9262

Fax

(212) 219-9263

NPI assigned

Jan 5, 2010

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Park Physical Medicine and Rehabilitation P.C.Group PAC ID 1759294135, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Central Park Physical Medicine and Rehabilitation P.C.

  • Physical Medicine & Rehabilitation Physician
  • Bronx, NY
  • NPI 1396813184
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1831429349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 ELIZABETH ST STE 602",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134729",
            "telephone_number": "212-219-9262",
            "fax_number": "212-219-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 ELIZABETH ST STE 602",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134729",
            "telephone_number": "212-219-9262",
            "fax_number": "212-219-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "ROMAN",
        "middle_name": "NOLASCO",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021186-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raksmey Michelle Tan, NP
• Rebecca S Tan
• Reina Bianca Medel Tan, M.D.
• Rendalyn Tan
• Richard Tan
• Samuel Tan, MD
• Shereen Tan, PT
• Si Min Tan
• Suzette Sasha Tan, RN-BC, AGPCNP-BC
• Sydney K Tan, RPH

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.