Virak Tan, M.D.

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

License

25MA07231500 Issued in NJ

Practice address

90 Bergen St
Doc 1200
Newark, NJ 07103-2425

Phone

(973) 972-2150

Fax

(973) 972-2155

NPI assigned

Oct 24, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Orthopedic SurgeryAlso: Hand Surgery

Education

Perelman School of Med at the University of Pennsylvania, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Institute for Hand and Arm SurgeryGroup PAC ID 0547578411, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Institute for Hand and Arm Surgery LLC

  • Orthopaedic Hand Surgery Physician
  • Harrison, NJ
  • NPI 1972989499
  Medicare reassignment Care Compare group NPD
• Institute for Hand and Arm Surgery

  • Orthopaedic Hand Surgery Physician
  • Madison, NJ
  • NPI 1932643392
  NPD Authorized official
• Harrison Endo Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Harrison, NJ
  • NPI 1013143007
  NPD (past)
• University Physician Associates of New Jersey Inc

  • Family Medicine Physician
  • Newark, NJ
  • NPI 1467462168
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249257600000",
    "number": "1841373438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BERGEN ST",
            "address_2": "ADMC 12 1205",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071073000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BERGEN ST",
            "address_2": "DOC 1200",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032425",
            "telephone_number": "973-972-2150",
            "fax_number": "973-972-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "VIRAK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2009-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NJ",
            "license": "25MA07231500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8555907",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amro Tambal
• Nisha Tamhankar, D.M.D.
• Saraaga Varada Tamirisa, MD
• Emily S. Tan, PA-C
• Royland Tan, MD
• Amy Tanchyk, DMD
• Indra Taneja, MD
• Reiheng Tang
• Shiow-Huei Tang, PT, MS, NCS
• Nikita Tangella, MD,MBA

• Orthopaedic Hand Surgery Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• Orthopaedic Hand Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; 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.