Provider Demographics
NPI:1205889656
Name:TANG, JIAN JENNY (MD)
Entity type:Individual
Prefix:DR
First Name:JIAN
Middle Name:JENNY
Last Name:TANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5 E 98TH ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6501
Mailing Address - Country:US
Mailing Address - Phone:212-241-9393
Mailing Address - Fax:212-423-1238
Practice Address - Street 1:5 E 98TH ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6501
Practice Address - Country:US
Practice Address - Phone:212-241-9393
Practice Address - Fax:212-423-1238
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY223580207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY119427POtherHIP, HMO,POS,ACCESS,HEALT
NY2295508OtherUHC.HMO.POS,PPO,EPO,INDEM
NY563C02OtherEMPIRE BCBS PPO,DIRECT PO
NY6336351OtherCIGNA HMO,PPO,INDEMNITY
NYP2889321OtherOXF FREEDOM,OX MEDICARE
NY3076072OtherAETNA HMO
NY7390373OtherAETNA POS,EPO,INDEM
NYP00000053444OtherGHI HMO
NY0203769OtherGHIPPO,PREMIER PPO,FLEX S
NY2099295OtherFIRST HEALTH PPO
NY4C6088OtherHEALTHNET, HMO,PLATINUM P
NY02318610Medicaid
NY2295506OtherMSNYU HEALTH TOP TIER
NYP00000053444OtherGHI HMO
NY6336351OtherCIGNA HMO,PPO,INDEMNITY