Josenia Narcisa Mailed Tan, MD
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Rochester, NY
NPI 1982831228 · NPPES record last updated Oct 2, 2020
Key facts
- NPI
- 1982831228
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 274796 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 30
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rochester General Hospital
The Unity Hospital of Rochester
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
- Unity Hospital
- Rochester General Hospital
- United Memorial Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.62 of 100
- Quality
- 74.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.62 of 100
- Quality
- 74.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140708002171 | NY | Practitioner - Pathology | 1557593670 | Reassigns benefits to 9 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 241466 | MA | MD | Anatomic Pathology & Clinical Pathology Physician |
| 274796 | NY | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clifton Springs Sanitarium Co | Current |
Accepting new patients | |
| Albany Medical College | Current |
Accepting new patients | |
| Gouverneur Hospital | Current |
Accepting new patients | |
| United Memorial Medical Center | Current | Accepting new patients | |
| Massena Hospital, Inc | Current |
Accepting new patients | |
| Gouverneur Hospital | Current |
Accepting new patients | |
| United Memorial Medical Center | Current |
Accepting new patients | |
| Newark Wayne Community Hospital | Current |
Accepting new patients | |
| Canton-Potsdam Hospital | Current |
Accepting new patients | |
| Massena Hospital Inc | Current |
Accepting new patients | |
| Albany Medical College | Current |
Accepting new patients | |
| Albany Medical College | Current |
Accepting new patients | |
| Rochester General Hospital | Current |
Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Newark Wayne Community Hospital | Current |
Accepting new patients | |
| The Unity Hospital of Rochester | Current |
Accepting new patients | |
| Canton-Potsdam Hospital | Current |
Accepting new patients | |
| Rochester General Hospital | Current |
Accepting new patients | |
| Evans Medical Foundation, Inc. | Past | Accepting new patients |
Locations
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440
16 Bank St
Batavia, NY 14020
Phone (585) 344-4800
127 North St
Batavia, NY 14020
Phone (585) 267-7510
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) 332-2266
50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034
201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
1561 Long Pond Rd
Ste 130
Rochester, NY 14626
Phone (585) 368-4395
1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 241466 | MA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 274796 | NY | Yes |
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
- Joy Mailed Tan
NPI Registry JSON
{
"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
- Asma Tameez Ud Din
- Yoshiko Tamura
- Amparo G Tan
- Brian Tan
- Catherine Chiu Tan
- Raymond K. Tan
- Aya Tanaka
- Chelsea Tanco
- Sarah Elizabeth Tanea
- Jennifer Michelle Tanenbaum
All providers in Rochester, NY · Anatomic Pathology & Clinical Pathology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.