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

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.

View all 30

Hospital & facility affiliations 10

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

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 (1,192 clinicians)
The Unity Hospital of Rochester (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

  • Unity Hospital Hospital · Rochester, NY · CCN 330226
  • Rochester General Hospital Hospital · Rochester, NY · CCN 330125
  • United Memorial Medical Center Hospital · Batavia, NY · CCN 330073

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100 (apm)
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100 (apm)
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 IDStateProvider typePAC IDDetails
I20140708002171 NY Practitioner - Pathology 1557593670 Reassigns benefits to 9 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

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

Practice roles

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 2, 2020.

{
    "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

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Sources for this page

Verify at the official NPI Registry.