MARISSA LUAN TAN DO, MPH
NPI 1720583818
Preventive Medicine - Addiction Medicine in Camden, NJ

Q: What is Marissa Tan's NPI number?

The NPI number for Marissa Tan is 1720583818. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Q: What is Marissa Tan's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Q: When was this NPI record last updated?

The NPPES record for Marissa Tan was last updated on June 19, 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.

Active since March 29, 2018PECOS EnrolledAccepts Medicare Assignment

800 COOPER ST STE 4004TH, CAMDEN, NJ 08102(856) 342-3040 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 19, 2024, Jun 13, 2024, Apr 2, 2023 and 8 more (11 updates tracked since 2018).

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About Marissa Luan Tan Do, Mph NPPES

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

MARISSA LUAN TAN DO, MPH (NPI 1720583818) is an individual addiction medicine provider in Camden, New Jersey, licensed in Pennsylvania (OS020328) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1720583818

Entity TypeIndividualFemale

Primary Taxonomy2083A0300X

Provider Legal NameMARISSA LUAN TANCredential: DO, MPH

Location Address800 COOPER ST STE 4004THCamden, NJ 08102-1155

Mailing Address1 Federal St Ste 200Camden, NJ 08103-1088 · (848) 288-6935 · Fax (732) 790-0107

Phone(856) 342-3040

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 29, 2018

Last NPPES UpdateJune 19, 202411 updates tracked since enumeration

NPPES CertifiedJune 19, 2024

✔ NPI 1720583818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083A0300X

Licenses✔ Licensed in PA · OS020328✔ Licensed in MD · H0087983✔ Licensed in NJ · 25MB12089100

Definition

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License 25MB12089100 (NJ), H0087983 (MD), OS020328 (PA)

800 COOPER ST STE 4004TH, Camden, NJ 08102

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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 and accepts Medicare assignment

Marissa Luan Tan Do, Mph 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 ID3870998503

PECOS Enrollment IDI20240621003694

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

23 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cooper University Hospital

Acute Care Hospitals · Camden, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310014

Location1 Cooper PlazaCamden, NJ 08103 · Camden County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08102 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

$140.34 typical visit price

range $61.59 – $185.05

Typical copayment $35.08 (range $15.39 – $46.26)

Most-billed visit code 99204

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

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 7

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

PAAPA KWAKU OWUSU NYANIN MD

Family Medicine (Addiction Medicine)