Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angelita Tan

Individual provider Family Nurse Practitioner · NPI 1992356786

Angelita Tan is a Nurse Practitioner in New York, New York. Qualified in 2020, 6 years ago. Practices with Memorial Developmental Chemo Group, a 48-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2019

Practice location Address checks out

1275 York Ave
New York, NY 10065-6007
Phone: (212) 639-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 344583 (NY)

Record details

NPI number1992356786
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 24, 2019
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Memorial Developmental Chemo Group — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Memorial Developmental Chemo Group

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 48 clinicians in the practice; 12 are shown here.

Other providers in New York