John J K Tan, MD in Montclair, NJ - Otolaryngology

John J K Tan, MD is a Otolaryngology physician based in Montclair, New Jersey. John J K Tan is licensed to practice in New Jersey (license number 25MA02451600) and his current practice location is 77 Park St, Montclair, New Jersey. He can be reached at his office (for appointments etc.) via phone at (973) 746-4855.

NPI number for John J K Tan is 1659450377 and his current mailing address is Po Box 3405 Memorial Station, Upper Montclair, New Jersey. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659450377.

Contact Information

	John J K Tan, MD
	77 Park St, Montclair, NJ 07042-2962
	(973) 746-4855
	(973) 746-5305

Physician's Profile

Full Name	John J K Tan
Gender	Male
Speciality	Otolaryngology
Location	77 Park St, Montclair, New Jersey
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1659450377
Provider Enumeration Date: 11/03/2006
Last Update Date: 04/01/2011

Medical Identifiers

Medical identifiers for John J K Tan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659450377	NPI	-	NPPES
2825201	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	25MA02451600 (New Jersey)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John J K Tan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
John J K Tan, MD Po Box 3405 Memorial Station, Upper Montclair, NJ 07043-3405 Ph: (973) 746-4855	John J K Tan, MD 77 Park St, Montclair, NJ 07042-2962 Ph: (973) 746-4855

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John J K Tan, MD - Otolaryngology in Montclair, NJ