Individual provider Active NPI

Amy Tan, MD

  • Gastroenterology Physician
  • Garden City, NY
National Provider Identifier
1932542149
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
285569 Issued in NY
Practice address
623 Stewart Ave Ste 106
Garden City, NY 11530-4771
Phone
(516) 650-3355
Fax
(866) 706-0812
NPI assigned
Apr 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 285569 NY Primary

Addresses

Primary practice location

623 Stewart Ave Ste 106
Garden City, NY 11530-4771

Mailing address

623 Stewart Ave Ste 106
Garden City, NY 11530-4771
Phone (516) 650-3355

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
I20190426001050 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 7416295969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
New York University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chris Demetriou MD PCGroup PAC ID 4284816927, 6 clinicians

Practice addresses (Care Compare)

623 Stewart Ave
Suite 106
Garden City, NY 11530-4771
Phone 5166503355109

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy39
Upper gastrointestinal (GI) endoscopy for acid reflux40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chris Demetriou MD PC Gastroenterology CurrentSince Mar 10, 2019 Accepting new patients

Locations

623 Stewart Ave
Ste 100
Garden City, NY 11530
Phone (516) 464-6888

623 Stewart Ave
Ste 106
Garden City, NY 11530
Phone (516) 351-9264

1205 Franklin Ave
Ste 150
Garden City, NY 11530
Phone (516) 222-0067

300 Old Country Rd
Mineola, NY 11501
Phone (516) 280-2599

300 Old Country Rd
Ste 211
Mineola, NY 11501
Phone (516) 280-2599

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1932542149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 STEWART AVE STE 106",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304771",
            "telephone_number": "516-650-3355",
            "fax_number": "866-706-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 STEWART AVE STE 106",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304771",
            "telephone_number": "516-650-3355",
            "fax_number": "866-706-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-08",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "285569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.