Fidelis Tan
NPI 1174234967 · Physician Assistant · Brooklyn, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fidelis Tan is a Physician Assistant provider in Brooklyn, NY (NPI 1174234967).
Provider details
- NPI number
- 1174234967
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2022-12-12
- Last updated
- 2024-06-27
- Certified
- 2024-06-27
Frequently asked questions
- What is Fidelis Tan's NPI number?
- Fidelis Tan's National Provider Identifier (NPI) is 1174234967, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Fidelis Tan's specialty?
- Fidelis Tan is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Fidelis Tan located?
- Fidelis Tan's practice location on file with NPPES is 6802 Ridge Blvd Apt 1p, Brooklyn, NY 11220-5845.
- What is Fidelis Tan's phone number?
- The practice phone number listed in the NPPES registry for Fidelis Tan is (646) 881-0273.
- Does Fidelis Tan accept Medicare?
- Fidelis Tan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Fidelis Tan's NPI active?
- Yes — Fidelis Tan's NPI (1174234967) is active in the NPPES registry as of the last update on 2024-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.