- Practice location
- 77 Park St, Montclair, NJ 07042-2962
- Phone
- 973-746-4855
- Fax
- 973-746-5305
- Last updated
- March 23, 2011
John J K Tan MD PA is a healthcare organization based in Montclair, NJ. John J K Tan MD PA practices in Montclair, NJ. The NPI Number for John J K Tan MD PA is 1306077144 and holds a License No. 25MAO2451600 (NJ). The current practice location address for John J K Tan MD PA is 77 Park St, Montclair, NJ 07042-2962 and can be reached out via phone at 973-746-4855 and via fax at 973-746-5305.
Provider Profile Details
- NPI Number
- 1306077144
- Provider Name
- John J K Tan MD PA
- Provider Entity Type
- Organization
- Address
- 77 Park St, Montclair, NJ 07042-2962
- Phone Number
- 973-746-4855
- Fax Number
- 973-746-5305
- Primary Taxonomy
- Otolaryngology · 207Y00000X
- Organization Subpart
- No
- Authorized Official
- Dr. John J K Tan, MD · President · 973-746-4855
- Provider Enumeration Date
- July 28, 2009
- Last Update Date
- March 23, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 77 Park St
Montclair, NJ 07042-2962 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-2962
- Phone Number
- 973-746-4855
- Fax Number
- 973-746-5305
Provider Business Mailing Address Details
- Address
- Po Box 3405
Memorial Station
Upper Montclair, NJ 07043-3405 - City
- Upper Montclair
- State
- NJ
- Zip
- 07043-3405
- Phone Number
- 973-746-4855
- Fax Number
- 973-746-5305
License Information
- License Number (1)
- 25MAO2451600
- License State (1)
- NJ
- Taxonomy (1)
- Clinic/Center, Medical Specialty · 261QM2500X
- Taxonomy (2)
- Otolaryngology · 207Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 John J K Tan MD PA?
The NPI number of John J K Tan MD PA is 1306077144. It was assigned on July 28, 2009 and is currently active in the NPPES registry.
What is the specialty of John J K Tan MD PA?
John J K Tan MD PA is registered under the primary taxonomy Otolaryngology (code 207Y00000X), licensed in NJ under license number 25MAO2451600.
Where does John J K Tan MD PA practice?
The practice location is 77 Park St, Montclair, NJ 07042-2962. The office can be reached at 973-746-4855 (phone) or 973-746-5305 (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 1306077144 directly on the NPPES registry website.