Provider Demographics
NPI:1700059185
Name:TANG, LINDA YINGLIN (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:YINGLIN
Last Name:TANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:211 BRIDGE ST
Mailing Address - Street 2:BUILDING D
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-2290
Mailing Address - Country:US
Mailing Address - Phone:732-902-2821
Mailing Address - Fax:732-902-2822
Practice Address - Street 1:730 58TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3917
Practice Address - Country:US
Practice Address - Phone:718-567-8808
Practice Address - Fax:718-567-8808
Is Sole Proprietor?:No
Enumeration Date:2008-04-08
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA239181207RG0100X
NJ25MA087440207RG0100X
NY278047174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0243973Medicaid
NJ0243973Medicaid