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

Dr. Amil Kusain Tan Jr., PHD, RN, FNP

Individual provider Family Nurse Practitioner · NPI 1467293126

Dr. Amil Kusain Tan Jr., PHD, RN, FNP is a Family Nurse Practitioner in Woodside, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

5718 Woodside Ave Ste 101
Woodside, NY 11377-3400
Phone: (917) 633-7710
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 354353 (NY)

Record details

NPI number1467293126
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , RN , FNP
Sole proprietorYes
NPI enumeratedJune 5, 2024
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024

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