ESRA TAN
NPI 1699667683
Nurse Practitioner - Adult Health in Hackensack, NJ

Q: What is Esra Tan's NPI number?

The NPI number for Esra Tan is 1699667683. It was assigned to this individual provider in the NPPES registry on July 16, 2025.

Q: What is Esra Tan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Esra Tan was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 16, 2025PECOS Enrolled

30 PROSPECT AVE, HACKENSACK, NJ 07601(551) 996-2000 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Esra Tan NPPES

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

ESRA TAN (NPI 1699667683) is an individual adult health provider in Hackensack, New Jersey, licensed in New Jersey (26NR20175600) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1699667683

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameESRA TAN

Location Address30 PROSPECT AVEHackensack, NJ 07601-1915

Mailing Address6 Grand StHighland Lakes, NJ 07422-1301 · (201) 873-7287

Phone(551) 996-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 16, 2025

NPPES CertifiedJuly 16, 2025

✔ NPI 1699667683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NJ · 26NR20175600

30 PROSPECT AVE, Hackensack, NJ 07601

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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)

Esra Tan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123510054

PECOS Enrollment IDI20251126002693

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 07601 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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 20

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

DR. JESUS RAFAEL ALVAREZ-PEREZ M.D.

Obstetrics & Gynecology (Maternal & Fetal Medicine)