Individual provider Active NPI

Josenia Narcisa Mailed Tan, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Rochester, NY
National Provider Identifier
1982831228
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
274796 Issued in NY
Practice address
1561 Long Pond Rd Ste 130
Rochester, NY 14626-4136
Phone
(585) 723-7765
Fax
(585) 273-3637
NPI assigned
Jun 14, 2009
Last updated
Oct 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 241466 MA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 274796 NY Primary

Addresses

Primary practice location

1561 Long Pond Rd Ste 130
Rochester, NY 14626-4136

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 723-7765

Other practice location 1

127 North St
Batavia, NY 14020-1631
Phone (585) 343-6030

Other practice location 2

1200 Driving Park Ave
Newark, NY 14513-1090
Phone (315) 359-2847

Other practice location 3

2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-1911

Other practice location 4

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4121

Other practice location 5

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8442

Other names 1

  • Joy Mailed Tan Other name

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
I20140708002171 NY Practitioner - Pathology 1557593670 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians

Practice addresses (Care Compare)

1208 Driving Park Ave
Newark, NY 14513-1057
Phone (315) 359-2640

1250 Driving Park Ave
Newark, NY 14513-1057
Phone (315) 332-2427

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

1555 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 429-2289

1565 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 723-7366

158 Orchard St
Rochester, NY 14611-1361
Phone (585) 368-4500

2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-1305

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
241466MAMDAnatomic Pathology & Clinical Pathology Physician
274796NYMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Canton-Potsdam Hospital CurrentSince Jan 15, 2024 Accepting new patients
Albany Medical College CurrentSince Sep 1, 2019 Accepting new patients
Rochester General Hospital CurrentSince Nov 9, 2020 Accepting new patients
Gouverneur Hospital CurrentSince Jan 15, 2024 Accepting new patients
Newark Wayne Community Hospital CurrentSince Nov 9, 2020 Accepting new patients
Rochester General Hospital CurrentSince Nov 9, 2020 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Nov 9, 2020 Accepting new patients
Albany Medical College CurrentSince Sep 1, 2019 Accepting new patients
The Unity Hospital of Rochester CurrentSince Nov 9, 2020 Accepting new patients
Albany Medical College CurrentSince Sep 1, 2019 Accepting new patients
Canton-Potsdam Hospital CurrentSince Jan 15, 2024 Accepting new patients
Massena Hospital, Inc CurrentSince Jan 15, 2024 Accepting new patients
Gouverneur Hospital CurrentSince Jan 15, 2024 Accepting new patients
United Memorial Medical Center CurrentSince Nov 9, 2020 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Newark Wayne Community Hospital CurrentSince Nov 9, 2020 Accepting new patients
United Memorial Medical Center Current Accepting new patients
Massena Hospital Inc CurrentSince Jan 15, 2024 Accepting new patients
Evans Medical Foundation, Inc. Past Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

127 North St
Batavia, NY 14020
Phone (585) 267-7510

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2170

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

1561 Long Pond Rd
Ste 130
Rochester, NY 14626
Phone (585) 368-4395

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1244937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1982831228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-723-7765",
            "fax_number": "585-273-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 LONG POND RD STE 130",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264136",
            "telephone_number": "585-723-7765",
            "fax_number": "585-273-3637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 North St",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "NY",
            "postal_code": "140201631",
            "country_code": "US",
            "telephone_number": "585-343-6030",
            "fax_number": "585-344-7434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Driving Park Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NY",
            "postal_code": "145131090",
            "country_code": "US",
            "telephone_number": "315-359-2847",
            "fax_number": "315-359-2806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Coulter Rd",
            "address_purpose": "LOCATION",
            "city": "Clifton Springs",
            "state": "NY",
            "postal_code": "144321122",
            "country_code": "US",
            "telephone_number": "315-462-1911",
            "fax_number": "315-462-2430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213011",
            "country_code": "US",
            "telephone_number": "585-922-4121",
            "fax_number": "585-922-4128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 Church St",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "12866",
            "country_code": "US",
            "telephone_number": "518-583-8442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAN",
        "first_name": "JOSENIA NARCISA",
        "middle_name": "MAILED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-14",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MA",
            "license": "241466",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "274796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOY",
            "last_name": "TAN",
            "middle_name": "MAILED",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.