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Mark Tan, M.D., P.C.

NPI 1386828861ActiveOrganization· Specialist· Smithtown, NY

Specialist in Smithtown, New York, registered in NPPES in December 2007. The authorized official on file is Mark Tan, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1386828861
StatusActive
Entity typeOrganization
NPI issuedDec 20, 2007
Last updated in NPPESJan 7, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X165674NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

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Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (NY)

Medicare sources and data years

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