DR. BENG JIT TAN MD PHD NPI 1922096627

NPI Information

NPI: 1922096627
Provider Name: DR. BENG JIT TAN, MD, PHD
Classification: Urology - 208800000X
Entity Type: Individual
Address:
30 HARRISON ST
SUITE 460
JOHNSON CITY, NY
ZIP 13790
Phone: (607) 763-8101
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DR. Beng Jit Tan, MD, PHD is an urology in Johnson City, NY. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. Beng Jit Tan, MD, PHD NPI is 1922096627. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

30 HARRISON ST
SUITE 460
JOHNSON CITY, NY
ZIP 13790-161
Phone: (607) 763-8101
Fax: (607) 763-8049

The enumeration date for this NPI number is 10/7/2005 and was last updated on 4/21/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		231029	NEW YORK	No
2	208800000X	Urology		231029	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1000741	OTHER	NEW YORK	GHI
2	27164801	OTHER	NEW YORK	UNIVERA
3	40403006189	OTHER	NEW YORK	FIDELIS
4	L44076	MEDICARE UPIN	NEW YORK
5	P00257462	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	MEDICARE RR
6	2678971	MEDICAID	NEW YORK
7	RB7458	MEDICARE PIN	NEW YORK
8	1913021	OTHER	NEW YORK	IHA
9	P010231029	OTHER	NEW YORK	FAMILY HEALTH PLUS
10	MDJ211	OTHER	NEW YORK	PREFERRED CARE
11	928140001	OTHER	NEW YORK	HEALTH NOW
12	P010231029	OTHER	NEW YORK	MONROE
13	7238658	OTHER	NEW YORK	AETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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