JENNIFER TEDERA TAN APN
NPI 1083429070
Nurse Practitioner - Gerontology in Livingston, NJ

Active since February 08, 2025PECOS Enrolled
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039(973) 322-5000 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 9, 2026, Feb 13, 2025, Feb 8, 2025 (3 updates tracked since 2025).

About Jennifer Tedera Tan Apn NPPES

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

JENNIFER TEDERA TAN APN (NPI 1083429070) is an individual gerontology provider in Livingston, New Jersey, licensed in New Jersey (26NJ15228700) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1083429070
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameJENNIFER TEDERA TANCredential: APN
Location Address94 OLD SHORT HILLS RDLivingston, NJ 07039-5672
Mailing Address94 Old Short Hills RdLivingston, NJ 07039-5672 · (973) 978-4249
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 8, 2025
Last NPPES UpdateJanuary 9, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2026
✔ NPI 1083429070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in NJ · 26NJ15228700
Also ListedNurse PractitionerTaxonomy 363L00000X · License 26NJ15228700 (NJ)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 26NJ15228700 (NJ)
94 OLD SHORT HILLS RD, Livingston, NJ 07039

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID8820595341
PECOS Enrollment IDI20251009001551
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 Jennifer Tan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07039 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Practitioner (Gerontology)
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Psychiatry & Neurology (Neurology)
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Pharmacist
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Specialist
94 OLD SHORT HILLS RD, EAST WING, SUITE 305
LIVINGSTON, NJ 07039
Pathology (Anatomic Pathology & Clinical Pathology)
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Emergency Medicine
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Internal Medicine (Critical Care Medicine)
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Nurse Practitioner
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039

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 Jennifer Tan's NPI number?

The NPI number for Jennifer Tan is 1083429070. It was assigned to this individual provider in the NPPES registry on February 8, 2025.

Where is Jennifer Tan located?

Jennifer Tan practices at 94 Old Short Hills Rd, Livingston, NJ 07039. The listed phone number is (973) 322-5000.

What is Jennifer Tan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Jennifer Tan enrolled in Medicare?

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

Which organization bills Medicare for Jennifer Tan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Tan reassigns Medicare benefits to Barnabas Health Medical Group PC (Elizabeth, 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 Jennifer Tan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Tan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Jennifer 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 Jennifer Tan was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.