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DR. AMIL KUSAIN TAN JR. PHD, RN, FNP
NPI 1467293126
Nurse Practitioner - Family in Woodside, NY

Active since June 05, 2024PECOS Enrolled
5718 WOODSIDE AVE STE 101, WOODSIDE, NY 11377(917) 633-7710 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Amil Kusain Tan Jr. Phd, Rn, Fnp NPPES

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

DR. AMIL KUSAIN TAN JR. PHD, RN, FNP (NPI 1467293126) is an individual family provider in Woodside, New York, licensed in New York (354353) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467293126
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. AMIL KUSAIN TAN JR.Credential: PHD, RN, FNP
Location Address5718 WOODSIDE AVE STE 101Woodside, NY 11377-3400
Mailing Address5718 Woodside Ave Ste 101Woodside, NY 11377-3400
Phone(917) 633-7710
Sole ProprietorYes
Enumeration DateJune 5, 2024
NPPES CertifiedJune 5, 2024
✔ NPI 1467293126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 354353
5718 WOODSIDE AVE STE 101, Woodside, NY 11377
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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 (PECOS)

Dr. Amil Kusain Tan Jr. Phd, Rn, Fnp 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 11377 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

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 Amil Kusain Tan's NPI number?

The NPI number for Amil Kusain Tan is 1467293126. It was assigned to this individual provider in the NPPES registry on June 5, 2024.

Where is Amil Kusain Tan located?

Amil Kusain Tan practices at 5718 Woodside Ave Ste 101, Woodside, NY 11377. The listed phone number is (917) 633-7710.

What is Amil Kusain Tan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amil Kusain Tan enrolled in Medicare?

Yes. Amil Kusain Tan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amil Kusain Tan was last updated on June 5, 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.