Jessica M Chin Tan (NPI# 1386922359, PAC ID# 1658695580) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1386922359 |
| PAC ID by PECOS | 1658695580 |
| Professional Enrollment ID | I20150123000468 |
| Full Name | Jessica M Chin Tan |
| Organization Legal Name | PROHEALTH URGENT CARE MEDICINE PLLC |
| Address |
13201 14th Ave College Point NY 11356-2044 |
| Phone Number | 5166226000 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8628299518 |
| Number of Group Practice Members | 115 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 13201 14th Ave, College Point, NY 11356-2044 | 5166226000 | PROHEALTH URGENT CARE MEDICINE PLLC |
| Organization Legal Name | PROHEALTH URGENT CARE MEDICINE PLLC |
| Physicians | 86 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Elise Moreno | Physician Assistant | Prohealth Urgent Care Medicine Pllc | 555 N Broadway, Jericho, NY 11753-2134 |
| Yelena Davydova | Family Medicine | Prohealth Urgent Care Medicine Pllc | 3448 Nostrand Ave, Brooklyn, NY 11229-5107 |
| Jennifer R. Osbourne | Family Medicine | Prohealth Urgent Care Medicine Pllc | 330 Court St, Brooklyn, NY 11231-4334 |
| Philip Degaetano | Family Medicine | Prohealth Urgent Care Medicine Pllc | 148 Merrick Rd, Amityville, NY 11701-3439 |
| Tricia Narine | Family Medicine | Prohealth Urgent Care Medicine Pllc | 1074 Old Country Rd, Plainview, NY 11803-4918 |
| Jennifer Susan Khachadurian | Family Medicine | Prohealth Urgent Care Medicine Pllc | 254 -21 Nassau Blvd, Little Neck, NY 11362 |
| Lillian Carolina | Family Medicine | Prohealth Urgent Care Medicine Pllc | 257 W Park Ave, Long Beach, NY 11561-3222 |
| Charles Haddon Elijah Sadaphal | Emergency Medicine | Prohealth Urgent Care Medicine Pllc | 1158 Broadway, Hewlett, NY 11557-2302 |
| James P Spencer | Emergency Medicine | Prohealth Urgent Care Medicine Pllc | 1049 Morris Park Ave, Bronx, NY 10461-1410 |
| Adam D Fiterstein | Emergency Medicine | Prohealth Urgent Care Medicine Pllc | 255 Union Tpke, Glen Oaks, NY 11004 |
| Street Address |
13201 14TH AVE |
| City | COLLEGE POINT |
| State | NY |
| Zip | 11356-2044 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary C Noecker | Emergency Medicine | Prohealth Urgent Care Medicine Pllc | 13201 14th Ave, College Point, NY 11356-2044 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harvey Ngitngit | Physical Therapy | 14 Th Ave, 132 15a, College Point, NY 11356-2001 | |
| Suhasini Jonnavithula | Internal Medicine | Sai Medical PC | 12216 18th Ave, College Point, NY 11356-2202 |
| Jack Eisenstein | Podiatry | 1810 College Point Blvd, College Point, NY 11356-2221 | |
| Giulia M Trojer | Clinical Social Worker | 1814 College Pt Blvd, College Point, NY 11356-2241 |
| City | COLLEGE POINT |
| Zip Code | 11356 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | COLLEGE POINT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jessica M Chin Tan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.