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FIDELIS Y TAN
NPI 1174234967
Physician Assistant in Brooklyn, NY

Active since December 12, 2022PECOS EnrolledAccepts Medicare Assignment
6802 RIDGE BLVD APT 1P, BROOKLYN, NY 11220(646) 881-0273 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2024, Dec 12, 2022 (2 updates tracked since 2022).

About Fidelis Y Tan NPPES

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

FIDELIS Y TAN (NPI 1174234967) is an individual physician assistant in Brooklyn, New York and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1174234967
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameFIDELIS Y TAN
Location Address6802 RIDGE BLVD APT 1PBrooklyn, NY 11220-5845
Mailing Address6802 Ridge Blvd Apt 1pBrooklyn, NY 11220-5845 · (646) 881-0273
Phone(646) 881-0273
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 12, 2022
Last NPPES UpdateJune 27, 20242 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
✔ NPI 1174234967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6802 RIDGE BLVD APT 1P, Brooklyn, NY 11220
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fidelis Y Tan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426583998
PECOS Enrollment IDI20241120001985
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11220 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Fidelis Tan's NPI number?

The NPI number for Fidelis Tan is 1174234967. It was assigned to this individual provider in the NPPES registry on December 12, 2022.

Where is Fidelis Tan located?

Fidelis Tan practices at 6802 Ridge Blvd Apt 1P, Brooklyn, NY 11220. The listed phone number is (646) 881-0273.

What is Fidelis Tan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Fidelis Tan enrolled in Medicare?

Yes. Fidelis Tan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Fidelis Tan affiliated with any hospitals?

According to CMS data, Fidelis Tan is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Fidelis Tan was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.