John J K Tan, MD is a
Otolaryngology physician based in Montclair, New Jersey. John J K Tan is licensed to practice in New Jersey (license number 25MA02451600) and his current practice location is 77 Park St, Montclair, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(973) 746-4855.
NPI number for John J K Tan is 1659450377 and his current mailing address is Po Box 3405 Memorial Station, Upper Montclair, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659450377.
Physician's Profile
| Full Name | John J K Tan |
|---|
| Gender | Male |
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| Speciality | Otolaryngology |
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| Location | 77 Park St, Montclair, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659450377
- Provider Enumeration Date: 11/03/2006
- Last Update Date: 04/01/2011
Medical Identifiers
Medical identifiers for John J K Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659450377 | NPI | - | NPPES |
| 2825201 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 25MA02451600 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John J K Tan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John J K Tan, MD
Po Box 3405 Memorial Station,
Upper Montclair, NJ 07043-3405
Ph: (973) 746-4855 | John J K Tan, MD
77 Park St,
Montclair, NJ 07042-2962
Ph: (973) 746-4855 |
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