DR. JENNIFER C TANG (NPI# 1740556364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740556364 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER C TANG |
| Credential | MD |
| Practice Address |
1475 Nw 12th Ave Fl 2 Miami FL 33136-1002 |
| Mailing Address |
1600 Nw 10th Ave # 2023a Miami FL 33136-1015 |
| Practice Telephone | 3052433380 |
| Practice Fax Number | 3052434184 |
| Mailing Telephone | (305) 243-6735 |
| Mailing Fax Number | 3052436191 |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2017-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
ME133086 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407338916 | Jennifer Tang | Dentist | 16939 Livorno Dr, Pacific Palisades, CA 90272-3230 | 2018-08-30 |
| 1770907446 | Jennifer Tang | Occupational Therapist | 804 Almond Rd, San Marcos, CA 92078-5379 | 2014-02-14 |
| 1346275831 | Jennifer Tang | Internal Medicine | 23413 Lyons Ave, Santa Clarita, CA 91355 | 2006-07-12 |
| 1730797374 | Jennifer Tang | Pharmacist | 2225 W Commonwealth Ave Ste 110, Alhambra, CA 91803-1333 | 2020-07-20 |
| 1740812502 | Jennifer Joan Tang | Registered Nurse | 5700 S Maryland Ave, Chicago, IL 60637-1426 | 2020-02-10 |
| 1073019881 | Jennifer Chiwing Tang | Student in an Organized Health Care Education/Training Program | 1200 N State St., Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029 | 2018-04-02 |
| 1003340118 | Jennifer Tang | Occupational Therapist | 9808 Venice Blvd Ste 505, Culver City, CA 90232-6818 | 2017-04-14 |
| 1518376797 | Jennifer Tang | Marriage & Family Therapist | 161 W Victoria St, Long Beach, CA 90805-2175 | 2014-08-12 |
| 1306127220 | Jennifer Y Tang | Psychologist | 343 S Main St, Ste. 209a, Ann Arbor, MI 48104-2137 | 2011-09-06 |
| 1497072383 | Jennifer Tang | Pharmacist | 500 S 99th Ave, Tolleson, AZ 85353-9700 | 2010-04-30 |
| Street Address |
1475 NW 12TH AVE FL 2 |
| City | MIAMI |
| State | FL |
| Zip Code | 33136-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073698155 | Edward Maratea | Anesthesiology | 1475 Nw 12th Ave Fl 2, Miami, FL 33136-1002 | 2006-10-26 |
| 1972926871 | Carl Landgren | Internal Medicine | 1475 Nw 12th Ave Fl 2, Miami, FL 33136-1002 | 2014-01-28 |
| 1558689539 | Jashodeep Datta | Surgery | 1475 Nw 12th Ave Fl 2, Miami, FL 33136-1002 | 2010-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1992327761 | Jorge Luis Cardenas Alvarez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 | 2020-05-14 |
| 1104447036 | Denver Steven Pinto | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 | 2020-05-01 |
| 1992325724 | Dimple Kumar Chanamolu | Student in an Organized Health Care Education/Training Program | Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 | 2020-04-22 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1437708872 | Marie Jeanjean | Genetic Counselor, MS | 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 | 2019-09-09 |
| 1710543905 | Tal Friehmann | Student in an Organized Health Care Education/Training Program | Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 | 2019-05-14 |
| 1285297895 | Omar Munoz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 | 2019-04-18 |
| 1902369648 | Seyedeh Haleh Amirian | Student in an Organized Health Care Education/Training Program | 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 | 2019-04-10 |
| Find all providers in zip 33136 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942855150 | International Dermatology Research, Inc. | Dermatology | 8370 W Flagler St Ste 200, Miami, FL 33144-2038 | 2019-08-05 |
| 1003010216 | Anthony T Hasan | Dermatology | 8501 Sw 124th Ave Ste 112, Miami, FL 33183-4631 | 2007-06-12 |
| 1679712269 | Leavitt Medical Associates of Florida Inc | Dermatology | 8501 Sw 124th Ave, Suite 112, Miami, FL 33183-4627 | 2009-02-05 |
| 1134371669 | Leavitt Medical Associates of Florida Inc | Dermatology | 8370 W Flagler St, Suite 200, Miami, FL 33144-2094 | 2008-10-15 |
| 1730339078 | Leavitt Medical Associates of Florida Inc | Dermatology | 11760 Bird Rd, #452, Miami, FL 33175-3582 | 2008-09-23 |
| 1023276516 | Leavitt Medical Associates of Florida Inc | Dermatology | 3661 S Miami Ave, Suite 702, Miami, FL 33133-4236 | 2008-05-30 |
| 1437317930 | Leavitt Medical Associates of Florida Inc | Dermatology | 9000 Sw 87th Ct, Suite 202, Miami, FL 33176-2231 | 2008-05-30 |
| 1568528081 | Blas A Reyes | Dermatology | 8940 N Kendall Dr, #1002 E, Miami, FL 33176 | 2006-12-29 |
| 1104993005 | Blas A Reyes Md Pa | Dermatology | 8940 N Kendall Dr, 1002 E, Miami, FL 33176-2178 | 2006-11-29 |
| 1083644421 | Keyvan Nouri | Dermatology | 1475 Nw 12 Ave, Box 016960, Miami, FL 33101 | 2006-07-03 |
| Find all providers in MIAMI | ||||
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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.