Active NPI
Ian T Tang, M.D.
- Infectious Disease Physician
- New York, NY
National Provider Identifier
1982781068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 210088
- Practice address
- 400 Boradway
4TH Floor
New York, NY 10013-3748 - Phone
- (212) 334-6029
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 210088 | NY | Primary |
Addresses
Primary practice location
400 Boradway
4TH Floor
New York, NY 10013-3748
Mailing address
241 W 97TH St
Apartment 10 L
New York, NY 10025-6255
Phone (646) 872-6179
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01825410 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210088 | NY | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of New York Office of Payroll Administration | Past | Accepting new patients | |
| City of New York Office of Payroll Administration | Past | Accepting new patients | |
| CMC Housestaff | Past | Accepting new patients |
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.
-
dba NYC DOHMH Crown Heights HC
- State or Local Public Health Clinic/Center
- Brooklyn, NY
- NPI 1679501647
-
dba NYCDOHMH Bushwick District
- Community Health Clinic/Center
- Brooklyn, NY
- NPI 1912953035
-
dba St Vincents Catholic Medical Center
- Family Medicine Physician
- Elmhurst, NY
- NPI 1063572212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376870400000",
"number": "1982781068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 W 97TH ST",
"address_2": "APARTMENT 10 L",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100256255",
"telephone_number": "646-872-6179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 BORADWAY",
"address_2": "4TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100133748",
"telephone_number": "212-334-6029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANG",
"first_name": "IAN",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2013-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NY",
"license": "210088",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01825410",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.