MARK TAN, M.D., P.C.
NPI 1386828861
Specialist in Smithtown, NY

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

Active since December 20, 2007

222 MIDDLE COUNTRY RD, SUITE # 312, SMITHTOWN, NY 11787(631) 821-5893(631) 724-8901 Get Directions Write a Review

NPPES record last updated: January 7, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mark Tan, M.d., P.c. NPPES

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

MARK TAN, M.D., P.C. (NPI 1386828861) is a healthcare organization registered as a specialist in Smithtown, New York and active in the NPI registry since December 2007. The organization lists Mark Tan, Owner, as its authorized official.

NPPES Registry Identity

NPI1386828861

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameMARK TAN, M.D., P.C.

Location Address222 MIDDLE COUNTRY RD, SUITE # 312Smithtown, NY 11787

Mailing Address222 Middle Country Rd, Suite # 312Smithtown, NY 11787-2871 · (631) 821-5893 · Fax (631) 724-8901

Phone(631) 821-5893

Fax(631) 724-8901

Organization SubpartNo

Authorized OfficialMark TanOwner · (631) 724-8900

Enumeration DateDecember 20, 2007

Last NPPES UpdateJanuary 7, 2008

✔ NPI 1386828861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 165674

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

222 MIDDLE COUNTRY RD, Smithtown, NY 11787

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Other Identifiers 3

Medicaid00986705NY

Medicare UPINC58894NY

Medicare PINWES521NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP