Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jacky Tan

Individual provider Emergency Medicine Physician · NPI 1992190771

Jacky Tan practises Emergency Medicine in Forest Hills, New York. Qualified in 2015, 11 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
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Practice location Address checks out

10201 66th Rd
Forest Hills, NY 11375-2029
Phone: (212) 420-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 293166-01 (NY)

Record details

NPI number1992190771
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 30, 2015
Last updated in NPPESApril 28, 2022
Certification dateApril 28, 2022

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients237
Services billed 277 a service is one billed item, such as a visit, a test or a procedure
Average patient age79

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at North Shore-Lij Medical PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 6350 clinicians in the practice; 12 are shown here.

Other providers in Forest Hills