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

Kevin Tan

Individual provider Acute Care Nurse Practitioner · NPI 1568985471

Kevin Tan is a Nurse Practitioner in Princeton, New Jersey. Qualified in 2016, 10 years ago. Practices with Princeton Radiology Associates PA, a 54-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
10
Licensed in
NJ
In the registry since
2017
Specialties on file
2

Practice location Address checks out

419 N Harrison St
Princeton, NJ 08540-3521
Phone: (609) 921-3345
Fax: (609) 683-8847
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 26NJ00736900 (NJ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 26NR15551400 (NJ)

Record details

NPI number1568985471
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 23, 2017
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026
Mailing address619 Alexander Rd Ste 203, Princeton, NJ 08540-6017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Princeton Radiology Associates Pa — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Princeton