MINYI TAN (NPI# 1801039789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801039789 |
| Entity Type | Individual |
| Full Name | MINYI TAN |
| Credential | MD |
| Practice Address |
3 Edmund D Pellegrino Rd Stony Brook Anaesthesiology - Pain Management Center Stony Brook NY 11794-9464 |
| Mailing Address |
Po Box 1554 Stony Brook NY 11790-0988 |
| Practice Telephone | 6316380800 |
| Practice Fax Number | 6316380765 |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2015-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
269249 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
3 EDMUND D PELLEGRINO RD STONY BROOK ANAESTHESIOLOGY - PAIN MANAGEMENT CENTER |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11794-9464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690980 | Sylvia K Wood | Nurse Practitioner | 3 Edmund D Pellegrino Rd, Stony Brook, NY 11794-1008 | 2005-06-23 |
| 1437492782 | Krystal Danielle Airola | Radiology | 3 Edmund D Pellegrino Rd, Stony Brook, NY 11794-8160 | 2013-04-04 |
| 1922380203 | Anastasia Bakoulis | Surgery | 3 Edmund D Pellegrino Rd, Stony Brook, NY 11794-2594 | 2011-09-13 |
| 1679866909 | Jennifer Lyn Fitzgibbon | Dietitian, Registered | 3 Edmund D Pellegrino Rd, Stony Brook, NY 11794-1008 | 2011-05-19 |
| 1952619512 | Lynette Leola Leepack | Nurse Practitioner | 3 Edmund D Pellegrino Rd, Stony Brook, NY 11794-9460 | 2010-09-16 |
| 1942435417 | Rubin Guo | Nurse Practitioner | 3 Edmund D Pellegrino Rd, Stony Brook, NY 11794-1008 | 2009-05-27 |
| 1770744286 | Michael Abramov | Radiology | 3 Edmund D Pellegrino Rd, Stony Brook, NY 11794-8206 | 2008-06-18 |
| 1336308626 | Laura Elaina Hogan | Pediatrics | 3 Edmund D Pellegrino Rd, Stony Brook, NY 11794-8111 | 2008-06-03 |
| 1295992667 | Julia Scheuermann | Nurse Practitioner | 3 Edmund D Pellegrino Rd, Stony Brook, NY 11794-0001 | 2008-05-21 |
| 1477596997 | Edward Chan | Pediatrics | 3 Edmund D Pellegrino Rd, Stony Brook, NY 11794-9448 | 2006-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619506714 | Ryan John Kottmeier | Physician Assistant | 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 | 2020-04-02 |
| 1699302109 | Michael Trentalange | Student in an Organized Health Care Education/Training Program | Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 | 2020-03-25 |
| 1164985156 | Lauren Kate Harris | Student in an Organized Health Care Education/Training Program | Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 | 2019-04-08 |
| 1851851448 | Kathy Tin | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 | 2019-03-21 |
| 1174083703 | Arham Khan | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 | 2019-03-20 |
| 1396221982 | Aman Bhojani | Student in an Organized Health Care Education/Training Program | Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 | 2018-07-17 |
| 1699265629 | Belliny Phaeton | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-15 |
| 1629568969 | Rachel Herold | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-11 |
| 1598254419 | Nora Ann Diraimondo | Nurse Practitioner | Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 | 2018-05-07 |
| 1386140705 | Ryan Christopher Corn | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 | 2018-04-04 |
| Find all providers in zip 11794 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437687019 | Diana Besleaga Md, P.C. | Anesthesiology | 2500 Nesconset Hwy Bldg 15, Stony Brook, NY 11790-2555 | 2017-05-26 |
| 1730572827 | Hoon Bo Shim | Anesthesiology | 100 Nicolls Rd., Health Sciences Center L4-060, Stony Brook, NY 11794 | 2015-03-12 |
| 1154731396 | Abhishek Kumar Gupta | Anesthesiology | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2014-04-28 |
| 1447517842 | Edward J Papa | Anesthesiology | 101 Nicolls Road, Stony Brook Anesthesiology, Stony Brook, NY 11794-8480 | 2012-04-23 |
| 1487965778 | William Caldwell | Anesthesiology | Department of Anesthesiology, Health Science Center L4 #060, Stony Brook, NY 11794-8480 | 2010-07-01 |
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|---|---|---|---|---|
| 1952911547 | Alexander Rances, Do P.C. | Anesthesiology | 123 Lafayette Street, 5th Floor, New York, NY 10013 | 2020-08-07 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1497374250 | Stanley Ikezi, Md PC | Anesthesiology | 188 18 Linden Blvd, Saint Albans, NY 11412-4028 | 2020-04-13 |
| 1417595224 | Regenerative Pain Center of Nj & Ny | Anesthesiology | 119 W 57th St Ste 717, New York, NY 10019-2302 | 2019-12-12 |
| 1790322477 | Bay Ridge Medical Care Pllc | Anesthesiology | 370 Bay Ridge Pkwy Lowr Level, Brooklyn, NY 11209-3176 | 2019-12-02 |
| 1255991022 | Rubin Anesthesia Pain Management, Pllc | Anesthesiology | 1103 Stewart Avenue, Suite 300, Garden City, NY 11530 | 2019-06-14 |
| 1467010751 | Health Quest Medical Practice, PC | Anesthesiology | 665 Stoneleigh Ave Ste 205, Carmel, NY 10512-4625 | 2019-05-31 |
| 1619531910 | Aristide Burducea, D.o LLC | Anesthesiology | 21925 Peck Ave, Queens Village, NY 11427-1121 | 2019-04-23 |
| 1013470277 | Bryant Park Ambulatory Medical Care PC | Anesthesiology | 36 W 44th St Ste 914, New York, NY 10036-8104 | 2019-04-12 |
| 1043785181 | Spine and Pain Consultant, Pllc | Anesthesiology | 860 5th Ave Ste 1b, New York, NY 10065-5856 | 2018-10-04 |
| Find all providers with the same taxonomy | ||||
| City | STONY BROOK |
| Zip Code | 11794 |
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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.