ANGELITO D. TAN, M.D., PC (NPI# 1801082219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801082219 |
| Entity Type | Organization |
| Organization Name | ANGELITO D. TAN, M.D., PC |
| Practice Address |
2000 N Village Ave Ste 202 Rockville Centre NY 11570-1078 |
| Practice Telephone | 5165365511 |
| Practice Fax Number | 5165365579 |
| Mailing Telephone | 5165365511 |
| Mailing Fax Number | 5165365579 |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-21 |
| Authorized Official Name | DR. ANGELITO DURANO TAN (OWNER) |
| Authorized Official Telephone | 5165365511 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
126705 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
2000 N VILLAGE AVE STE 202 |
| City | ROCKVILLE CENTRE |
| State | NY |
| Zip Code | 11570-1078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194728592 | Florencio Abasolo Gomez | Internal Medicine | 2000 N Village Ave, Ste 205, Rockville Centre, NY 11570-1001 | 2005-05-31 |
| 1831697101 | Stephanie Dym | Pharmacist | 2000 N Village Ave, Rockville Centre, NY 11570-1078 | 2018-01-31 |
| 1538607759 | Frankie Batiste | Physician Assistant | 2000 N Village Ave, Ste 402, Rockville Centre, NY 11570-1078 | 2017-02-08 |
| 1497113989 | Winthrop Community Medical Affiliates, P.C. | Orthopaedic Surgery | 2000 N Village Ave, Suite 306, Rockville Centre, NY 11570-1078 | 2016-01-29 |
| 1376946640 | Fontak Inc | Pharmacy | 2000 N Village Ave, Suite 107, Rockville Centre, NY 11570-1078 | 2014-10-01 |
| 1417294018 | Mary A Kelly | Nurse Practitioner | 2000 N Village Ave, Suite 108, Rockville Centre, NY 11570-1078 | 2013-01-16 |
| 1649515925 | Chs Physician Partners, PC | Internal Medicine | 2000 N Village Ave, Suite 102, Rockville Centre, NY 11570-1078 | 2012-11-28 |
| 1669738746 | Island Physician Services, Pllc | Clinic/Center | 2000 N Village Ave, Suite 109, Rockville Centre, NY 11570-1078 | 2012-04-03 |
| 1891086013 | Michael S. Block, M.d. P.C. | Obstetrics & Gynecology | 2000 N Village Ave, Suite 411, Rockville Centre, NY 11570-1078 | 2011-04-21 |
| 1255630893 | Colon and Rectal Surgery P.C. | Colon & Rectal Surgery | 2000 N Village Ave, Suit 205, Rockville Centre, NY 11570-1078 | 2011-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462419 | Jessica Ilana Smuckler | Occupational Therapist | 90 S Park Ave Apt C2, Rockville Centre, NY 11570 | 2018-10-10 |
| 1356831309 | Pure Medical Services PC | Specialist | 2000 N Village Ave Ste 202, Rockville Centre, NY 11570 | 2018-05-15 |
| 1447766449 | Licura, LLC | Technician, Other | 566 Merrick Road, Suite 1, Rockville Centre, NY 11570 | 2017-12-28 |
| 1427505858 | Shera M Goodridge | Specialist | 134 Shellbank Place, Rockville Center, NY 11570 | 2016-09-01 |
| 1669830634 | Barbara Massina, Lcsw | Clinic/Center | 161 N Village Ave, Rockville Centre, NY 11570 | 2016-02-05 |
| 1972973428 | Medscript Pharmacy LLC | Pharmacy | 180-184 Sunrise Highway, Rockville Centre, NY 11570 | 2015-09-28 |
| 1265813703 | Jeffrey Michael Nozius | Registered Nurse | 1000 Hempstead Ave, Rockville Centre, NY 11570 | 2015-06-10 |
| 1568855971 | Meredith Kreinbihl | Counselor | 119 North Park Avenue, Suite 210, Rockville Centre, NY 11570 | 2015-03-09 |
| 1174921647 | Pamela Leake | Behavioral Analyst | 88 Hendrickson Ave, Rvc, NY 11570 | 2014-12-15 |
| 1467851584 | Lisa Brown-eisel, Lcsw, P.C. | Social Worker | 100 North Village Avenue, Suite 32, Rockville Centre, NY 11570 | 2014-08-14 |
| Find all providers in zip 11570 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023231883 | Ivan Mikolaenko | Psychiatry & Neurology | 100 Merrick Road Suite 128, Rockville Centre, NY 11570-0001 | 2007-04-10 |
| 1831115179 | Angelito Durano Tan | Psychiatry & Neurology | 2000 North Village Avenue, Ste 202, Rockville Centre, NY 11570 | 2006-07-13 |
| 1841420544 | Mazurek Memory Systems, Inc. | Psychiatry & Neurology | 371 Merrick Rd, Suite 401, Rockville Centre, NY 11570-5359 | 2009-07-16 |
| 1184737744 | Poonam S Dulai | Psychiatry & Neurology | 2000 N Village Ave, Suite 309, Rockville Centre, NY 11570-1078 | 2006-08-17 |
| 1457335697 | Julius Bazan | Psychiatry & Neurology | 165 N Village Ave, Ste 129, Rockville Centre, NY 11570-3761 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638275 | Oversight Physician Services Pllc | Psychiatry & Neurology | 198 Sussex Dr, Manhasset, NY 11030-3737 | 2020-08-04 |
| 1841818234 | Padmaja Aradhya Md Pllc | Psychiatry & Neurology | 17 Dillon Dr, Dix Hills, NY 11746-7945 | 2020-07-11 |
| 1184279085 | All Island Neurology PC | Psychiatry & Neurology | 11617 Atlantic Ave, Richmond Hill, NY 11418-3141 | 2019-08-07 |
| 1346802352 | Ny Neurology Medicine PC | Psychiatry & Neurology | 305 7th Ave Rm 13c, New York, NY 10001-6155 | 2019-07-01 |
| 1770144636 | Upstate Neurology P.C. | Psychiatry & Neurology | 804 Syska Rd, Ossining, NY 10562-1424 | 2019-06-21 |
| 1659836518 | David T Finkelstein | Psychiatry & Neurology | 3619 Bedford Ave Apt 1b, Brooklyn, NY 11210-5254 | 2019-02-05 |
| 1801360029 | Ghassan George Haddad | Psychiatry & Neurology | 20 Waterside Plz Apt 26e, New York, NY 10010-2665 | 2019-01-22 |
| 1427527472 | Daniel Ahoubim Md PC | Psychiatry & Neurology | 37 W 26th St Rm 204, New York, NY 10010-1145 | 2018-11-20 |
| 1053889378 | Paul Wright, M.d. | Psychiatry & Neurology | 500 N Broadway Ste 16, Jericho, NY 11753-2127 | 2018-11-05 |
| 1770096109 | Wpw Medical, Pllc | Psychiatry & Neurology | 280 Dobbs Ferry Rd Ste 206, White Plains, NY 10607-1912 | 2017-11-07 |
| Find all providers with the same taxonomy | ||||
| City | ROCKVILLE CENTRE |
| Zip Code | 11570 |
Please comment or provide details below to improve the information on ANGELITO D. TAN, M.D., PC.
| 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.