JENNIFER TEDERA TAN APN
NPI 1083429070
Nurse Practitioner - Gerontology in Livingston, NJ
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
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennifer Tedera Tan Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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.
LIVINGSTON, NJ 07039
LIVINGSTON, NJ 07039
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.
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 7 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.
# Jennifer Tedera Tan, APN · NPI 1083429070
Gerontology physician in Livingston, New Jersey. Individual provider, active in the CMS NPPES registry since February 8, 2025.
## Identity
- **NPI:** 1083429070 (Entity type: Individual)
- **Enumerated:** February 8, 2025
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 26NJ15228700 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 94 OLD SHORT HILLS RD, Livingston, NJ 07039-5672
- **Phone:** (973) 322-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** January 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1083429070) · Data from the CMS NPPES public registry.