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

Tanner William Dixon, FNP-C

Individual provider Family Nurse Practitioner · NPI 1407644875

Tanner William Dixon, FNP-C is a Nurse Practitioner in Hoboken, New Jersey. Qualified in 2024, 2 years ago. Practices with Memorial Sloan Kettering Cancer Center at Basking Ridge New Jersey, a 232-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and New York.

Years since qualifying
2
Licensed in
NJ, NY
In the registry since
2025
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

1025 Maxwell Ln Apt 417
Hoboken, NJ 07030-6824
Phone: (908) 442-6660
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ15306800 (NJ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 356513 (NY)

Record details

NPI number1407644875
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedApril 28, 2025
Last updated in NPPESApril 28, 2025
Certification dateApril 27, 2025
Mailing address1025 Maxwell Ln Apt 417, Hoboken, NJ 07030-6824

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Memorial Sloan Kettering Cancer Center At Basking Ridge New Jersey — 232 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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