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DR. JEANNIE TAM
NPI 1053466565
Pediatrics in Brooklyn, NY

Active since January 24, 2007
451 CLARKSON AVE, BROOKLYN, NY 11203(718) 245-7187 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Jeannie Tam NPPES

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

DR. JEANNIE TAM (NPI 1053466565) is an individual pediatrics provider in Brooklyn, New York, licensed in New York (213626) and active in the NPI registry since January 2007. She maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1053466565
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. JEANNIE TAM
Location Address451 CLARKSON AVEBrooklyn, NY 11203-2054
Mailing Address123 W 93rd StNew York, NY 10025-7572
Phone(718) 245-7187
Sole ProprietorNo
Enumeration DateJanuary 24, 2007
Last NPPES UpdateMarch 19, 2021
NPPES CertifiedMarch 19, 2021
✔ NPI 1053466565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 213626
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
451 CLARKSON AVE, Brooklyn, NY 11203
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Secondary Practice Location 1

Location 11400 Pelham Pkwy SBronx, NY 10461-1138 · Phone (718) 918-3060

Other Identifiers 1

Medicaid02271043NY

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.

GEORGETTE JONES LCSW
Social Worker (Clinical)
451 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-3131
SHAYLA NICOLE REID
Obstetrics & Gynecology
451 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (844) 692-4692
DR. NINAD DESAI MD
Pediatrics (Pediatric Hematology-Oncology)
451 CLARKSON AVE, KINGS COUNTY HOSPITAL CENTER; B 6202
BROOKLYN, NY 11203
Kings County (718) 245-4105
MS. BARBARA ANGELA HENDERSON RRT
General Acute Care Hospital
451 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-4526
VIKTORIYA TKACHENKO M.D.
Internal Medicine
451 CLARKSON AVE, BOX 22
BROOKLYN, NY 11203
Kings County (718) 245-2237
LANCE WINSLOW PSYD
Psychologist
451 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-1162
LYDIE KOHLER MCKENZIE MD
Emergency Medicine
451 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-4616
LEELA VENKAT MD
Anesthesiology
451 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-4408

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 Jeannie Tam's NPI number?

The NPI number for Jeannie Tam is 1053466565. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Jeannie Tam located?

Jeannie Tam practices at 451 Clarkson Ave, Brooklyn, NY 11203. The listed phone number is (718) 245-7187.

What is Jeannie Tam's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Jeannie Tam was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.