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

Tedman Lucero Tan

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1568857365

Tedman Lucero Tan is a Podiatry in Vineland, New Jersey. Graduated from Temple University School of Medicine in 2015, 11 years ago. Practices with Affiliated Podiatrists of South Jersey Ltd, a 5-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
11
Trained at
Temple University School of Medicine
Licensed in
NJ
In the registry since
2015
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Practice location Address checks out

150 S Main Rd
Vineland, NJ 08360-7828
Phone: (856) 691-2152
Fax: (856) 696-3474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 25MD00343900 (NJ)

Record details

NPI number1568857365
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 30, 2015
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Affiliated Podiatrists Of South Jersey Ltd — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Vineland