Individual provider Active NPI

Manuel Ramos Tan, MD

  • Emergency Medicine Physician
  • Edison, NJ
National Provider Identifier
1962415471
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA02838500 Issued in NJ
Practice address
38 Laura Ave
Edison, NJ 08820-2114
Phone
(732) 494-1350
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA02838500 NJ Primary

Addresses

Primary practice location

38 Laura Ave
Edison, NJ 08820-2114

Mailing address

38 Laura Ave
Edison, NJ 08820-2114
Phone (732) 494-1350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Healthcare Associates, LLC Emergency Medicine CurrentSince Jun 29, 2012 Accepting new patients
Hudson Hospital Opco LLC Current Accepting new patients
Jersey Emergency Medical Associates LLC Emergency Medicine Past Accepting new patients
Eastern Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Essex Emergency Group PC Emergency Medicine Past Accepting new patients

Locations

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

10 Exchange Pl
Fl 15
Jersey City, NJ 07302
Phone (201) 821-8900

Interoperability endpoints

  • Direct secure messaging: manuel.tan@direct.christhospital.md

Organizations & group practices 5

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250035200000",
    "number": "1962415471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 LAURA AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202114",
            "telephone_number": "732-494-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 LAURA AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202114",
            "telephone_number": "732-494-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "MANUEL",
        "middle_name": "RAMOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2009-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA02838500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.