DR. ZIMRI CIRIACO TAN (NPI# 1821589102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821589102 |
| Entity Type | Individual |
| Full Name | DR. ZIMRI CIRIACO TAN |
| Credential | MD |
| Practice Address |
506 Lenox Avenue Mlk - Rm. 14-106 New York NY 10037 |
| Mailing Address |
88 Greenwich St. Apt. 811 New York NY 10006 |
| Practice Telephone | 2129391406 |
| Practice Fax Number | 2129392263 |
| Mailing Telephone | 3472658980 |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
506 LENOX AVENUE MLK - RM. 14-106 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366450868 | Marlene R Burrell | Nurse Practitioner | 506 Lenox Avenue, Harlem Hospital Center, New York, NY 10037 | 2006-08-03 |
| 1376168344 | Mary Kirstyleigh Ann Revilla Lim | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue, Department of Pediatrics, Martin Luther King Building, New York, NY 10037 | 2020-06-15 |
| 1346864246 | Sheetal Chepuri | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue, New York, NY 10037-1802 | 2020-06-05 |
| 1154941581 | Cyndee Del Rosario Jocson | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue, New York, NY 10037-1082 | 2020-04-27 |
| 1457971962 | Priscila Loisboa | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue, New York, NY 10037-1802 | 2020-04-24 |
| 1033739859 | Sumitha Udayashankar Tarur | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue, Department of Pediatrics: Mlk 17-110, New York, NY 10037-1802 | 2020-04-22 |
| 1568082790 | Ashley Annalise Mcpherson | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue, New York, NY 10037-1802 | 2020-04-17 |
| 1730708033 | Mariam Shabbir | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue, New York, NY 10037-1802 | 2020-04-16 |
| 1235790023 | Ahmad Fahmi Alhammada | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue, New York, NY 10037 | 2019-06-24 |
| 1013575026 | Fhamida Khan | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue, Rm. 13-106-mlk, New York, NY 10037 | 2019-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199986 | Collaborative for Better Urban Health, LLC | Case Management | 15 West 139th Street, Apt. 3h, New York, NY 10037 | 2020-09-22 |
| 1295352524 | Monisha Kanya Savarimuthu | Student in an Organized Health Care Education/Training Program | 506 Lenox Ave. New York, Ny 10037, 506 Lenox Ave. New York Ny 10037, New York City, NY 10037 | 2020-07-02 |
| 1396361283 | Iman Mukhtar | Student in an Organized Health Care Education/Training Program | 506 Lenox Ave, Mlk Harlem Hospital Center, New York City, NY 10037 | 2020-06-17 |
| 1982226296 | Shivani Shrestha | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue, Rm-13-106-mlk, New York City, NY 10037 | 2020-05-08 |
| 1326669359 | Natan Katanov | Student in an Organized Health Care Education/Training Program | 506 Lennox Ave, Harlem Hospital Center Dept of Dentistry, New York, NY 10037 | 2020-04-30 |
| 1699395053 | Allie Chua Tan | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue Rm 13-106-mlk, New York, NY 10037 | 2020-04-25 |
| 1619506896 | Sherlon Orin Sinclair | Student in an Organized Health Care Education/Training Program | 506 Lennox Avenue, Rm. 13-106-mlk, New York, NY 10037 | 2020-04-08 |
| 1841857166 | Domingo Pena | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue Rm. 14-106 Mlk, Harlem Hospital Center, New York, NY 10037 | 2019-05-22 |
| 1588228308 | Sebastian Cristobal Valdivieso Rueda | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue, Mlk 11.101, New York, NY 10037 | 2019-04-26 |
| 1548726235 | Michelle Len Moore | Prosthetist | 620 Lenox Ave, Suite 4c, New York, NY 10037 | 2019-02-18 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881671 | Celeste Finelli | Student in an Organized Health Care Education/Training Program | 255 W 36th St Rm 201, New York, NY 10018-7700 | 2020-11-06 |
| 1407457310 | Omri Sulimani | Student in an Organized Health Care Education/Training Program | 1425 Madison Ave Ste L4-60, New York, NY 10029-6514 | 2020-11-06 |
| 1215537931 | Gloria Helena Gomez Arenas | Student in an Organized Health Care Education/Training Program | 220 East 57th Street, Apt 5c, New York, NY 10022 | 2020-10-30 |
| 1033719216 | Vanessa Tee-ting Ng | Student in an Organized Health Care Education/Training Program | 1 Park Avenue, Nyu Langone Child Study Center, 7th Floor, New York, NY 10016 | 2020-10-28 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1558968537 | Yiyang Zhang | Student in an Organized Health Care Education/Training Program | 1000 10th Ave Fl 2, New York, NY 10019-1147 | 2020-10-03 |
| 1699372706 | Anna Jane Dare | Student in an Organized Health Care Education/Training Program | 1275 York Avenue Department of Surgery, Memorial Sloan, Kettering Cancer Center, New York, NY 10065 | 2020-10-02 |
| 1285241018 | Grace A Forrester | Student in an Organized Health Care Education/Training Program | 517 W 121st St Apt 604s, New York, NY 10027-5901 | 2020-09-25 |
| 1235746199 | Christopher Alexis Perez Lizardo | Student in an Organized Health Care Education/Training Program | 515 W 59th St Apt 29b, New York, NY 10019-1042 | 2020-09-24 |
| 1568077014 | Toshihide Kuroe | Student in an Organized Health Care Education/Training Program | 35-20 90th Street, Jackson Heights, Queens, New York, NY 11372 | 2020-09-11 |
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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.