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DR. JUN JINE JACK TAN D.M.D.
NPI 1114273034
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since July 29, 2012
3450 WAYNE AVE, 16L, BRONX, NY 10467(347) 972-3540 Get Directions Write a Review

NPPES record last updated: July 29, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jun Jine Jack Tan D.m.d. NPPES

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

DR. JUN JINE JACK TAN D.M.D. (NPI 1114273034) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1114273034
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JUN JINE JACK TANCredential: D.M.D.
Location Address3450 WAYNE AVE, 16LBronx, NY 10467-2510
Mailing Address3450 Wayne Ave, 16lBronx, NY 10467-2510 · (347) 972-3540
Phone(347) 972-3540
Sole ProprietorNo
Enumeration DateJuly 29, 2012
✔ NPI 1114273034 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.
3450 WAYNE AVE, Bronx, NY 10467
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Other Providers at the Same Location NPPES 9

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

DR. AMIT PUNJ DMD
Dentist (General Practice)
3450 WAYNE AVE, APT 13 H
BRONX, NY 10467
Bronx County (918) 850-1030
JENNIFER LOBBAN ROTH
Family Medicine
3450 WAYNE AVE, APT 13H
BRONX, NY 10467
Bronx County (305) 979-8001
MOHAMMAD PERVEZ M.D.
Student in an Organized Health Care Education/Training Program
3450 WAYNE AVE, APARTMENT 20 P
BRONX, NY 10467
Bronx County (917) 331-9195
DR. CHRISTOPHER KARAN SINGH M.D.
Student in an Organized Health Care Education/Training Program
3450 WAYNE AVE, APT 10G
BRONX, NY 10467
Bronx County (917) 371-9297
ZOLTAN ANTAL MD
Pediatrics (Pediatric Endocrinology)
3450 WAYNE AVE, MONTEFIORE PEDIATRIC ENDOCRINOLOGY
BRONX, NY 10467
Bronx County (718) 920-4664
DR. ALBERT SUNG JIN KOH D.O.
Anesthesiology
3450 WAYNE AVE, APT # 19E
BRONX, NY 10467
Bronx County (917) 923-7612
DR. DEEPIKA KHANNA DMD
Student in an Organized Health Care Education/Training Program
3450 WAYNE AVE, APT 17B
BRONX, NY 10467
Bronx County (617) 901-9401
DR. SESHASAYEE NARASIMHAN MBBS, MRCP, FRACP
Student in an Organized Health Care Education/Training Program
3450 WAYNE AVE, 11D
BRONX, NY 10467
Bronx County (718) 300-4160

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 Jun Jine Jack Tan's NPI number?

The NPI number for Jun Jine Jack Tan is 1114273034. It was assigned to this individual provider in the NPPES registry on July 29, 2012.

Where is Jun Jine Jack Tan located?

Jun Jine Jack Tan practices at 3450 Wayne Ave 16L, Bronx, NY 10467. The listed phone number is (347) 972-3540.

What is Jun Jine Jack 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 Jun Jine Jack Tan was last updated on July 29, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. Anyone can also request an on-demand re-check of this record against the live CMS registry, directly from this page.