Active NPIIndividual provider

Ke Yan Tang, PA-C

Physician Assistant, Medical in Clifton, New Jersey

NPI Number1194069112
Practice location
1355 Broad Street, Clifton, NJ 07013
Fax
973-778-4044
Last updated
November 4, 2020

Ke Yan Tang is a Physician Assistant, Medical based in Clifton, NJ. Ke Yan Tang practices in Clifton, NJ and has the professional credentials of PA-C. The NPI Number for Ke Yan Tang is 1194069112 and holds a License No. 015045 (NY). The current practice location address for Ke Yan Tang is 1355 Broad Street, Clifton, NJ 07013 and can be reached out via phone at 973-778-5566 and via fax at 973-778-4044.

Provider Profile Details

NPI Number
1194069112
Provider Name
Ke Yan Tang
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1355 Broad Street, Clifton, NJ 07013
Phone Number
973-778-5566
Fax Number
973-778-4044
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
November 15, 2012
Last Update Date
November 4, 2020
Certification Date
November 4, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1355 Broad Street
Clifton, NJ 07013
Zip
07013
Phone Number
973-778-5566
Fax Number
973-778-4044
Clifton, NJ 07013Get directions →

Provider Business Mailing Address Details

Address
1355 Broad Street
Clifton, NJ 07013
City
Clifton
State
NJ
Zip
07013
Phone Number
973-778-5566
Fax Number
973-778-4044

License Information

License Number
015045
License State
NY
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ke Yan Tang, PA-C?

The NPI number of Ke Yan Tang, PA-C is 1194069112. It was assigned on November 15, 2012 and is currently active in the NPPES registry.

What is the specialty of Ke Yan Tang, PA-C?

Ke Yan Tang, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NY under license number 015045.

Where does Ke Yan Tang, PA-C practice?

The practice location is 1355 Broad Street, Clifton, NJ 07013. The office can be reached at 973-778-5566 (phone) or 973-778-4044 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194069112 directly on the NPPES registry website.

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