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MISS JIA WEI TAN MD
NPI 1023647922
Student in an Organized Health Care Education/Training Program in Bridgeport, CT

Active since April 03, 2020
267 GRANT ST, BRIDGEPORT, CT 06610(203) 384-3792 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Jia Wei Tan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS JIA WEI TAN MD (NPI 1023647922) is an individual student in an organized health care education/training program in Bridgeport, Connecticut and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1023647922
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMISS JIA WEI TANCredential: MD
Location Address267 GRANT STBridgeport, CT 06610-2805
Mailing Address267 Grant StBridgeport, CT 06610-2805 · (203) 384-3792
Phone(203) 384-3792
Sole ProprietorNo
Enumeration DateApril 3, 2020
NPPES CertifiedApril 3, 2020
✔ NPI 1023647922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
267 GRANT ST, Bridgeport, CT 06610
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ALEX SCOTT CADAN PA-C
Physician Assistant (Surgical)
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-4500
RYAN KEENAN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3000
DR. BLAZE KELLY DO
Anesthesiology (Pain Medicine)
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3000
KARINA K. LINCER
Physical Therapist
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3000
DOROTHY D. DAPONTE
Physical Therapy Assistant
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3000
MISS SANDRA SHIPKOWITZ APRN
Nurse Practitioner (Pediatrics)
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-4490
HOLLY S. ASHBY
Physical Therapist
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3000
TESSA GURALNICK DPT
Physical Therapist
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3708

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jia Wei Tan's NPI number?

The NPI number for Jia Wei Tan is 1023647922. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Jia Wei Tan located?

Jia Wei Tan practices at 267 Grant St, Bridgeport, CT 06610. The listed phone number is (203) 384-3792.

What is Jia Wei Tan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jia Wei Tan was last updated on April 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.