Basic Information
| Provider Information | |||||||||
| NPI: | 1205889656 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TANG | ||||||||
| FirstName: | JIAN | ||||||||
| MiddleName: | JENNY | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5 E 98TH ST | ||||||||
| Address2: | 2ND FLOOR | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100296501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2122419393 | ||||||||
| FaxNumber: | 2124231238 | ||||||||
| Practice Location | |||||||||
| Address1: | 5 E 98TH ST | ||||||||
| Address2: | 2ND FLOOR | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100296501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2122419393 | ||||||||
| FaxNumber: | 2124231238 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/18/2006 | ||||||||
| LastUpdateDate: | 07/23/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VG0400X | 223580 | NY | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 119427P | 01 | NY | HIP, HMO,POS,ACCESS,HEALT | OTHER | 2295508 | 01 | NY | UHC.HMO.POS,PPO,EPO,INDEM | OTHER | 563C02 | 01 | NY | EMPIRE BCBS PPO,DIRECT PO | OTHER | 6336351 | 01 | NY | CIGNA HMO,PPO,INDEMNITY | OTHER | P2889321 | 01 | NY | OXF FREEDOM,OX MEDICARE | OTHER | 3076072 | 01 | NY | AETNA HMO | OTHER | 7390373 | 01 | NY | AETNA POS,EPO,INDEM | OTHER | P00000053444 | 01 | NY | GHI HMO | OTHER | 0203769 | 01 | NY | GHIPPO,PREMIER PPO,FLEX S | OTHER | 2099295 | 01 | NY | FIRST HEALTH PPO | OTHER | 4C6088 | 01 | NY | HEALTHNET, HMO,PLATINUM P | OTHER | 02318610 | 05 | NY | MEDICAID | 2295506 | 01 | NY | MSNYU HEALTH TOP TIER | OTHER |