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

Mr. Jerome Aldrin Enrique Tan

Individual provider Physical Therapist · NPI 1487988804

Mr. Jerome Aldrin Enrique Tan is a Physical Therapist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009

Practice location Address checks out

4915 Broadway Apt 4P
New York, NY 10034-3162 Not confirmed with CMS for 17 years — call before visiting
Phone: (917) 669-4304
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 016103-1 (NY)

Record details

NPI number1487988804
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 1, 2009
Last updated in NPPESOctober 1, 2009

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