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JIANYOU TAN MD
NPI 1790712271
Pathology - Anatomic Pathology & Clinical Pathology in Hackensack, NJ

Active since June 28, 2006PECOS Enrolled
30 PROSPECT AVE, HACKENSACK, NJ 07601(201) 996-2000 Get Directions Write a Review

NPPES record last updated: February 1, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jianyou Tan Md NPPES

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

JIANYOU TAN MD (NPI 1790712271) is an individual anatomic pathology & clinical pathology provider in Hackensack, New Jersey, licensed in New Jersey (25MA07831500) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790712271
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameJIANYOU TANCredential: MD
Location Address30 PROSPECT AVEHackensack, NJ 07601-1914
Mailing AddressPo Box 23650Newark, NJ 07189-0001 · (800) 832-8244 · Fax (207) 753-2012
Phone(201) 996-2000
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateFebruary 1, 2008
✔ NPI 1790712271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in NJ · 25MA07831500
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
30 PROSPECT AVE, Hackensack, NJ 07601
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Other Identifiers 1

Medicare UPINH21215

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jianyou Tan Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Jianyou Tan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fpa Hospital Based
8.3 mi
Nuclear Medicine
1 GUSTAVE L LEVY PL
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 1,067 clinicians in this Medicare group
NPI 1205179140 (212) 241-6381

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
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)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2453
JENNIFER NORTHRIDGE M.D.
Pediatrics (Adolescent Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2237
ANALYSA GALLEGOS MD
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2331
DR. PAARTH RAJ D.O.
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 996-2000
MRS. LAUREN ANNE CARUCCI NP-C
Nurse Practitioner (Adult Health)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
MS. SOMDATTA GUPTA
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (973) 216-7796
ALEXANDER SHERMAN DO
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (818) 635-2802
DR. TYLER MICHAEL CHAFITZ MD, MBA
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000

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 Jianyou Tan's NPI number?

The NPI number for Jianyou Tan is 1790712271. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Jianyou Tan located?

Jianyou Tan practices at 30 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (201) 996-2000.

What is Jianyou Tan's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Jianyou Tan enrolled in Medicare?

Yes. Jianyou Tan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jianyou Tan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jianyou Tan reassigns Medicare benefits to Fpa Hospital Based (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jianyou Tan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jianyou Tan was last updated on February 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.