DR. EDWIN C TAN (NPI# 1073506713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073506713 |
| Entity Type | Individual |
| Full Name | DR. EDWIN C TAN |
| Credential | M.D. |
| Practice Address |
13626 37th Ave Flushing NY 11354-6533 |
| Mailing Address |
125 Walker St Fl 2 New York NY 10013-4135 |
| Practice Telephone | 7188861200 |
| Practice Fax Number | 7188863901 |
| Mailing Telephone | 2122268866 |
| Mailing Fax Number | 2122262289 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2019-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 132804 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00377633 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376540773 | Edwin Ladja Tan | Psychiatry & Neurology | 1113 Penn St, Hollidaysburg, PA 16648-2239 | 2005-06-30 |
| 1629074240 | Edwin V Tan | Internal Medicine | 2 Great Falls Plz Ste 21, Auburn, ME 04210 | 2005-06-28 |
| Street Address |
13626 37TH AVE |
| City | FLUSHING |
| State | NY |
| Zip Code | 11354-6533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219535 | Ying Guo | Registered Nurse | 13626 37th Ave, Flushing, NY 11354-6533 | 2020-03-11 |
| 1467003509 | Careen S Chang | Social Worker | 13626 37th Ave, Flushing, NY 11354-6533 | 2019-09-20 |
| 1831749407 | Mei Liao | Registered Nurse | 13626 37th Ave, Flushing, NY 11354-6533 | 2019-09-16 |
| 1487200218 | Dana Chen | Registered Nurse | 13626 37th Ave, Flushing, NY 11354-6533 | 2019-08-16 |
| 1245886159 | Jiaqi Li | Social Worker | 13626 37th Ave, Flushing, NY 11354-6533 | 2019-08-15 |
| 1720632110 | Katy J Q Chen | Registered Nurse | 13626 37th Ave, Flushing, NY 11354-6533 | 2019-07-24 |
| 1487206397 | Qiujin Cai | Registered Nurse | 13626 37th Ave, Flushing, NY 11354-6533 | 2019-07-10 |
| 1356907703 | Chee Kuan Yong | Registered Nurse | 13626 37th Ave, Flushing, NY 11354-6533 | 2019-05-11 |
| 1962067116 | Yee M Tun | Registered Nurse | 13626 37th Ave, Flushing, NY 11354 | 2019-05-02 |
| 1821550641 | David Shi | Registered Nurse | 13626 37th Ave, Flushing, NY 11354-6533 | 2019-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388157 | Laeana Rodriguez | Speech-Language Pathologist | 30-04 146th St, Flushing, NY 11354 | 2020-08-25 |
| 1508402413 | United Community Anesthesia Care Pllc | Anesthesiology | 3636 Maint St, 1s, Flushing, NY 11354 | 2019-11-26 |
| 1922658087 | Xiaoyan Fei | Social Worker | Charles B. Wang Community Health Center 136-26 37th Ave, Flushing, NY 11354 | 2019-09-19 |
| 1235797655 | Life Improvement Homecare, Inc. | Durable Medical Equipment & Medical Supplies | 38-08 Union Street, Suite 2j, Flushing, NY 11354 | 2019-05-31 |
| 1497214985 | Justin Young Lee | Registered Nurse | 143-23 38th Ave, Apt 2c, Flushing, NY 11354 | 2019-03-14 |
| 1669930962 | Jacqueline Nicole Liu | Student in an Organized Health Care Education/Training Program | 29-30 138th Street, Apartment 3f, Flushing, NY 11354 | 2019-03-05 |
| 1275003378 | Janet Poon | Pharmacist | 35-19 Leavitt St., #51, Flushing, NY 11354 | 2018-11-30 |
| 1659856490 | Xiaohui Wang Medical Pllc | Obstetrics & Gynecology | 135 16 Roosevelt Avenue, 3rd Floor, Flushing, NY 11354 | 2018-09-27 |
| 1063990687 | Harmony Care Physical Therapy PC | Clinic/Center | 35-05 Farrington Street, Ste A, Flushing, NY 11354 | 2018-08-06 |
| 1356827604 | Theresa S Cheung | Nurse Practitioner | 39-07 Prince St, Ste 3h, Flushing, NY 11354 | 2018-07-18 |
| Find all providers in zip 11354 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710206610 | Anthony C Bottone Md PC | Urology | 45-28 Parsons Blvd., Flushing, NY 11355-2219 | 2010-05-18 |
| 1174688964 | Louis Thomas Cornacchia | Urology | 4528 Parsons Blvd, Flushing, NY 11355-2252 | 2006-12-22 |
| 1477630440 | John H Won | Urology | 4161 Kissena Blvd Ste 1b, Flushing, NY 11355-3105 | 2006-11-01 |
| 1891702718 | Chin W Chung | Urology | 147-01 41st Ave, Flushing, NY 11355-1248 | 2006-08-02 |
| 1316987845 | Antony Sc Chen | Urology | 13443 Maple Ave, Suite 1a, Flushing, NY 11355-4527 | 2006-06-06 |
| 1598763377 | Robert M Farrell | Urology | 56 45 Main Street, W-ll300, Flushing, NY 11355-5045 | 2005-07-14 |
| 1942208830 | Albert P Tarasuk | Urology | 5842 Main St, Flushing, NY 11355-5336 | 2005-07-13 |
| 1629416664 | Yongpeng Gu | Urology | 13668 Roosevelt Ave Ste 4c, Flushing, NY 11354-5510 | 2013-06-12 |
| 1619283322 | Urological Care At Flushing PC | Urology | 136-20 38th Avenue, Unit 7f, Flushing, NY 11354-4232 | 2010-08-19 |
| 1124344221 | Michael J Amirian | Urology | 5645 Main St, Division of Urology, Flushing, NY 11355-5045 | 2010-04-14 |
| Find all providers in FLUSHING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.