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

Dr. Elizabeth Listiani Tan, MD

Individual provider Diagnostic Radiology Physician · NPI 1346210077

Dr. Elizabeth Listiani Tan, MD practises Diagnostic Radiology in Mount Laurel, New Jersey. Graduated from Albany Medical College of Union University in 1993, 33 years ago. Practices with Jefferson University Radiology Associates LLC, a 108-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
33
Trained at
Albany Medical College of Union University
Licensed in
NJ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

204 Ark Rd
Mount Laurel, NJ 08054-3100 Not confirmed with CMS for 13 years — call before visiting
Phone: (856) 866-8102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 25MA08161200 (NJ)

Record details

NPI number1346210077
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 25, 2006
Last updated in NPPESMarch 19, 2013

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 1993 (33 years in practice)
Group practice Jefferson University Radiology Associates Llc — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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