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Jeannie Tam
NPI 1053466565 · Pediatrics Physician · Brooklyn, NY
Jeannie Tam is a Pediatrics Physician provider in Brooklyn, NY (NPI 1053466565).
Provider details
- NPI number
- 1053466565
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 213626 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(94/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
451 Clarkson Ave
Brooklyn, NY 11203-2054
Phone: (718) 245-7187
Street-level locationGet directions
Mailing address
123 W 93rd St
New York, NY 10025-7572
Additional practice locations (1)
- 1400 Pelham Pkwy SBronx, NY 10461-1138Phone: (718) 918-3060
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 2021-03-19
- Certified
- 2021-03-19
Frequently asked questions
- What is Jeannie Tam's NPI number?
- Jeannie Tam's National Provider Identifier (NPI) is 1053466565, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeannie Tam's specialty?
- Jeannie Tam is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Jeannie Tam located?
- Jeannie Tam's practice location on file with NPPES is 451 Clarkson Ave, Brooklyn, NY 11203-2054.
- What is Jeannie Tam's phone number?
- The practice phone number listed in the NPPES registry for Jeannie Tam is (718) 245-7187.
- Is Jeannie Tam's NPI active?
- Yes — Jeannie Tam's NPI (1053466565) is active in the NPPES registry as of the last update on 2021-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.