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IndividualActivePrescriber

Tetris Ylizah Tan

MD

Student in an Organized Health Care Education/Training Program

NPI: 1104506005Long Branch, New Jersey, 07740(732) 222-5200Female

About Tetris Ylizah Tan

Tetris Ylizah Tan, MD, is a female healthcare professional specializing in Student in an Organized Health Care Education/Training Program, registered under National Provider Identifier (NPI) number 1104506005.

Their primary practice is located at 300 2ND AVE, Long Branch, New Jersey 07740. Patients can reach the office at (732) 222-5200. Tetris Ylizah Tan is authorized to prescribe medications. Tetris Ylizah Tan has been NPI-registered since 2023.

Doctor Details

Identity & Credentials

NPI Number
1104506005
Entity Type
Individual
First Name
Tetris Ylizah
Last Name
Tan
Credential
MD
Gender
Female
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
300 2ND AVE
City
Long Branch
State
New Jersey
ZIP
07740-6303
Country
United States
Phone
(732) 222-5200

Specialty & Taxonomy

Primary Specialty
Student in an Organized Health Care Education/Training Program
Classification
Student in an Organized Health Care Education/Training Program
Taxonomy Code
390200000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
400 SAIRS AVE APT 7
City
LONG BRANCH
State
NJ
ZIP
077405629

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes

Frequently Asked Questions

What is Tetris Ylizah Tan's NPI number?
Tetris Ylizah Tan's National Provider Identifier (NPI) is 1104506005. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Tetris Ylizah Tan specialize in?
Tetris Ylizah Tan specializes in Student in an Organized Health Care Education/Training Program.
Where is Tetris Ylizah Tan located?
Tetris Ylizah Tan practices at 300 2ND AVE, Long Branch, New Jersey 07740. You can reach them by phone at (732) 222-5200.
Does Tetris Ylizah Tan accept Medicare?
Based on available data, Tetris Ylizah Tan is not currently enrolled in the Medicare program.
Does Tetris Ylizah Tan offer telehealth or virtual visits?
Tetris Ylizah Tan does not currently offer telehealth services. In-person visits are required at their practice location.
Can Tetris Ylizah Tan prescribe medications?
Yes, Tetris Ylizah Tan is an authorized prescriber.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Tetris Ylizah Tan is 1104506005.