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

Mr. Jay Tan, DPT, PT

Individual provider Physical Therapist · NPI 1699179432

Mr. Jay Tan, DPT, PT is a Physical Therapist in Private Practice in Hackensack, New Jersey. Qualified in 2015, 11 years ago. Practices with Bergen Medical Sports and Spine, Inc, a 15-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
11
Licensed in
NJ, NY
In the registry since
2014
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

454 Passaic St
Hackensack, NJ 07601-1519
Phone: (201) 488-7905
Fax: (201) 488-7901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 370 W 58th St, New York, NY 10019-1806 — (510) 456-8747

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01861700 (NJ)
Physical Therapist Taxonomy 225100000X · Licence 027657-1 (NY)

Record details

NPI number1699179432
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , PT
Sole proprietorNo
NPI enumeratedOctober 21, 2014
Last updated in NPPESAugust 13, 2020
Certification dateAugust 13, 2020
Mailing address1377 Motor Pkwy Ste 307, Islandia, NY 11749-5258

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Bergen Medical Sports And Spine, Inc. — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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