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LUCY TAN
NPI 1083240014
Pediatrics - Pediatric Pulmonology in Philadelphia, PA

Active since March 21, 2020PECOS Enrolled
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(215) 590-3749 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 1, 2026, Nov 18, 2025, Mar 23, 2020 and 1 more (4 updates tracked since 2020).

About Lucy Tan NPPES

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

LUCY TAN (NPI 1083240014) is an individual pediatric pulmonology provider in Philadelphia, Pennsylvania, licensed in New Jersey (25MA13037100) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hackensack, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1083240014
Entity TypeIndividualFemale
Primary Taxonomy2080P0214X
Provider Legal NameLUCY TAN
Location Address3401 CIVIC CENTER BLVDPhiladelphia, PA 19104-4319
Mailing Address331 Newman Springs Road, Bldg. 2, Suite 220Red Bank, NJ 07701 · (732) 807-0877 · Fax (201) 751-1680
Phone(215) 590-3749
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 21, 2020
Last NPPES UpdateMay 1, 20264 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
✔ NPI 1083240014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
Licenses✔ Licensed in NJ · 25MA13037100✔ Licensed in PA · MT227886
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
Open in Google Maps ↗

Secondary Practice Location 1

Location 130 Prospect Ave Fl 3Hackensack, NJ 07601-1915 · Phone (551) 996-5207 · Fax (551) 996-4969

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lucy Tan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496224891
PECOS Enrollment IDI20260514003725
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lucy Tan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hackensack Meridian Health Medical Group - Specialty Care PC
64 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Lucy Tan's NPI number?

The NPI number for Lucy Tan is 1083240014. It was assigned to this individual provider in the NPPES registry on March 21, 2020.

Where is Lucy Tan located?

Lucy Tan practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-3749.

What is Lucy Tan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Lucy Tan enrolled in Medicare?

Yes. Lucy Tan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lucy Tan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lucy Tan reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lucy Tan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lucy Tan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Lucy Tan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lucy Tan was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.