1. Home
  2. Directory
  3. Massachusetts
  4. Needham
  5. Pathology
  6. NPI Profile

DR. MARY ALDRENE TAN M.D.
NPI 1255510194
Pathology - Dermatopathology in Needham, MA

Active since October 29, 2007PECOS Enrolled
15 CRAWFORD ST STE 100, NEEDHAM, MA 02494(617) 969-4100(617) 969-3393 Get Directions Write a Review

NPPES record last updated: March 21, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Mary Aldrene Tan M.d. NPPES

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

DR. MARY ALDRENE TAN M.D. (NPI 1255510194) is an individual dermatopathology provider in Needham, Massachusetts, licensed in New York (238301-1) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255510194
Entity TypeIndividualFemale
Primary Taxonomy207ZD0900X
Provider Legal NameDR. MARY ALDRENE TANCredential: M.D.
Location Address15 CRAWFORD ST STE 100Needham, MA 02494-2618
Mailing AddressPo Box 840294Dallas, TX 75284-0294 · (888) 344-1160 · Fax (972) 331-3148
Phone(617) 969-4100
Fax(617) 969-3393
Sole ProprietorNo
Enumeration DateOctober 29, 2007
Last NPPES UpdateMarch 21, 2018
✔ NPI 1255510194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZD0900X
License✔ Licensed in NY · 238301-1
Definition
A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 238301-1 (NY)
15 CRAWFORD ST STE 100, Needham, MA 02494
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Aldrene Tan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02494 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 9

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

ELSA VELAZQUEZ-MCGUIRK MD
Pathology (Anatomic Pathology & Clinical Pathology)
15 CRAWFORD ST STE 100
NEEDHAM, MA 02494
Norfolk County (617) 969-4100
DR. LALEH MONTASER KOUHSARI M.D.
Pathology (Anatomic Pathology)
15 CRAWFORD ST STE 100
NEEDHAM HEIGHTS, MA 02494
Norfolk County (866) 588-3280
ALEJANDRO PERALTA SOLER MD
Pathology (Dermatopathology)
15 CRAWFORD ST STE 100
NEEDHAM, MA 02494
Norfolk County (617) 969-4100
DR. TANYA ARVIND REGE M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
15 CRAWFORD ST STE 100
NEEDHAM, MA 02494
Norfolk County (617) 969-4100
BLYTHE ELIZABETH BOWMAN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
15 CRAWFORD ST STE 100
NEEDHAM, MA 02494
Norfolk County (866) 588-3280
MAHMOUD GOODARZI M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
15 CRAWFORD ST STE 100
NEEDHAM, MA 02494
Norfolk County (617) 969-4100
HEDIEH HONARPISHEH MD
Pathology (Anatomic Pathology & Clinical Pathology)
15 CRAWFORD ST STE 100
NEEDHAM, MA 02494
Norfolk County (617) 969-4100
ADRIANO PIRIS M.D.
Pathology (Dermatopathology)
15 CRAWFORD ST STE 100
NEEDHAM, MA 02494
Norfolk County (617) 969-4100

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 Mary Aldrene Tan's NPI number?

The NPI number for Mary Aldrene Tan is 1255510194. It was assigned to this individual provider in the NPPES registry on October 29, 2007.

Where is Mary Aldrene Tan located?

Mary Aldrene Tan practices at 15 Crawford St Ste 100, Needham, MA 02494. The listed phone number is (617) 969-4100.

What is Mary Aldrene Tan's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

Is Mary Aldrene Tan enrolled in Medicare?

Yes. Mary Aldrene Tan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Aldrene Tan was last updated on March 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.