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

Laura Tan

Individual provider Physician Assistant · NPI 1760172910

Laura Tan is a Physician Assistant in Brooklyn, New York. Qualified in 2023, 3 years ago. Practices with Kings Physician Services PC, a 645-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

38 6th Ave
Brooklyn, NY 11217-4187
Phone: (718) 230-7788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 030667 (NY)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1760172910
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 11, 2023
Last updated in NPPESFebruary 21, 2026
Certification dateFebruary 21, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Kings Physician Services Pc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Brooklyn