Individual provider Active NPI

Whitney Valins Tan, M.D.

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1922394303
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
278478 Issued in NY
Practice address
32 Ericsson PL
New York, NY 10013-2411
Phone
(212) 374-9750
NPI assigned
Jun 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 278478 NY Primary

Addresses

Primary practice location

32 Ericsson PL
New York, NY 10013-2411

Mailing address

32 Ericsson PL
New York, NY 10013-2411

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150901001056 NY Practitioner - Dermatology 3678889920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adam Geyer MD PCGroup PAC ID 4587730478, 5 clinicians

Practice addresses (Care Compare)

30 -32 Ericsson Place
First Floor
New York, NY 10013-2411
Phone (212) 374-9750

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions27
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
278478NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adam Geyer MD PC Dermatology CurrentSince Jul 15, 2015 Accepting new patients
Paru Chaudhari MD PLLC PastSince Mar 17, 2013 Accepting new patients

Locations

32 Ericsson Pl
New York, NY 10013
Phone (212) 374-9750

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1922394303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 ERICSSON PL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100132411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 ERICSSON PL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100132411",
            "telephone_number": "212-374-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "WHITNEY",
        "middle_name": "VALINS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "278478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.