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

Crystal Tank, MD

Individual provider Internal Medicine Physician · NPI 1043639453

Crystal Tank, MD is an Internal Medicine in Glen Ridge, New Jersey. Graduated from State University of New York at Stony Brook, School of Medicine in 2014, 12 years ago. Practices with Mpv New Jersey MD Services PC, a 145-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
12
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NJ
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

311 Bay Ave Mmg Internal Med
Glen Ridge, NJ 07028
Phone: (973) 748-9246
Fax: (973) 748-8755
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MA10421000 (NJ)

Record details

NPI number1043639453
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2014
Last updated in NPPESFebruary 17, 2020
Certification dateFebruary 17, 2020
Mailing addressPo Box 419430, Boston, MA 02241-9430

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Mpv New Jersey Md Services Pc — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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