IDY TAM MD
NPI 1245816610
Dermatology in New Hyde Park, NY

Active since March 24, 2021PECOS EnrolledAccepts Medicare Assignment
1991 MARCUS AVE STE 300, NEW HYDE PARK, NY 11042(516) 719-3376 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2025, Mar 14, 2025, Mar 24, 2021 (3 updates tracked since 2021).

About Idy Tam Md NPPES

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

IDY TAM MD (NPI 1245816610) is an individual dermatology provider in New Hyde Park, New York, licensed in New York (334398) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Tulane University School Of Medicine (2021).

NPPES Registry Identity

NPI1245816610
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameIDY TAMCredential: MD
Location Address1991 MARCUS AVE STE 300New Hyde Park, NY 11042-2058
Mailing Address1991 Marcus Ave Ste 300New Hyde Park, NY 11042-2058
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2021
Enumeration DateMarch 24, 2021
Last NPPES UpdateMarch 20, 20253 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
NPI 1245816610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NY · 334398
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1991 MARCUS AVE STE 300, New Hyde Park, NY 11042

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

Idy Tam Md 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 ID1658896790
PECOS Enrollment IDI20250422000246
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.

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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.

Other Providers at the Same Location NPPES 12

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

Pathology (Dermatopathology)
1991 MARCUS AVE STE 300
NEW HYDE PARK, NY 11042
Dermatology (MOHS-Micrographic Surgery)
1991 MARCUS AVE STE 300
NORTH NEW HYDE PARK, NY 11042
Physician Assistant
1991 MARCUS AVE STE 300
NEW HYDE PARK, NY 11042
Dermatology
1991 MARCUS AVE STE 300
NEW HYDE PARK, NY 11042
Student in an Organized Health Care Education/Training Program
1991 MARCUS AVE STE 300
NORTH NEW HYDE PARK, NY 11042
Dermatology
1991 MARCUS AVE STE 300
NEW HYDE PARK, NY 11042
Dermatology
1991 MARCUS AVE STE 300
NEW HYDE PARK, NY 11042
Dermatology
1991 MARCUS AVE STE 300
NEW HYDE PARK, NY 11042

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 Idy Tam's NPI number?

The NPI number for Idy Tam is 1245816610. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Idy Tam located?

Idy Tam practices at 1991 Marcus Ave Ste 300, New Hyde Park, NY 11042. The listed phone number is (516) 719-3376.

What is Idy Tam's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Idy Tam enrolled in Medicare?

Yes. Idy Tam 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 Idy Tam affiliated with any hospitals?

According to CMS data, Idy Tam is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Idy Tam was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.