Individual provider Active NPI

Eric Tam, MD

  • Physical Medicine & Rehabilitation Physician
  • Mineola, NY
National Provider Identifier
1932629201
Registry record updated Oct 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
1932629201 Issued in NY
Practice address
250 Harrison Ave Apt 4H
Mineola, NY 11501-3964
Phone
(646) 339-9262
NPI assigned
Jun 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 1932629201 NY Primary

Addresses

Primary practice location

250 Harrison Ave Apt 4H
Mineola, NY 11501-3964

Mailing address

341 E 78TH St
New York, NY 10075-1314
Phone (646) 339-9262

Other identifiers 1

IdentifierTypeStateIssuer
W229525960OtherNYAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20241007002017 NY Practitioner - Physical Medicine and Rehabilitation 5698170322 Reassigns benefits to 1 organization
I20241206000598 NJ Practitioner - Physical Medicine and Rehabilitation 5698170322 Reassigns benefits to 1 organization
I20260515001740 CA Practitioner - Physical Medicine and Rehabilitation 5698170322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
New York Medical College, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sergey V Bogdan MD PCGroup PAC ID 7911935788, 3 clinicians

Practice addresses (Care Compare)

8686 Bay Pkwy
M4
Brooklyn, NY 11214-5193
Phone (718) 265-7700

Merit-based Incentive Payment System (MIPS)

Final score
76.63 of 100Reported as group
Quality
38.33
Promoting interoperability
77
Improvement activities
40
Cost
69.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1932629201NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sergey V. Bogdan, MD PC CurrentSince Sep 11, 2024 Accepting new patients
NJ - S Bogdan MD PC CurrentSince Nov 8, 2024 Accepting new patients

Locations

200 Perrine Rd
Ste 224
Old Bridge, NJ 08857
Phone (732) 553-1214

Networks

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

Organizations & group practices 3

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760832000000",
    "number": "1932629201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 E 78TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751314",
            "telephone_number": "646-339-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 HARRISON AVE APT 4H",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013964",
            "telephone_number": "646-339-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAM",
        "first_name": "ERIC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-27",
        "last_updated": "2025-10-19",
        "certification_date": "2025-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "1932629201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "W229525960",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.