Dr. Edwin C Tan, M.D.
Dr. Edwin C Tan is a Urology Physician provider (Urology) practicing in Flushing, NY, registered in the NPPES registry with NPI 1073506713 since 2005. The credential MD stands for Doctor of Medicine. Practices at Charles B. Wang Community Health Center, Inc. (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1073506713 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Edwin C Tan |
| Credential | M.D. |
| Sex | Male |
| Practice address | 13626 37TH AVE, Flushing, NY, 11354 |
| Phone | 7188861200 |
| Fax | 7188863901 |
| Enumeration date | 2005-08-29 |
| Last updated in NPPES | 2019-07-02 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208800000X | Urology Physician | Primary | 132804 | NY |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00377633 | Medicaid | NY | — |
Copy-ready billing details
Provider: Edwin Tan, M.D. NPI: 1073506713 Taxonomy: 208800000X (Urology Physician) Address: 13626 37TH AVE, Flushing, NY, 11354
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1720061120 | Jieying Shen | Individual | Pediatrics Physician | Flushing, NY |
| 1609859750 | Holly Lee | Individual | Family Nurse Practitioner | Flushing, NY |
| 1871576926 | Hyoseong Nuna Kim | Individual | Pediatrics Physician | Flushing, NY |
| 1942283098 | Christine Shen | Individual | Pediatrics Physician | Flushing, NY |
| 1962465278 | Samuel Wong | Individual | Obstetrics & Gynecology Physician | Flushing, NY |
| 1811943475 | Margaret Wou | Individual | Pediatrics Physician | Flushing, NY |
| 1467476325 | Marie Chiao | Individual | Internal Medicine Physician | Flushing, NY |
| 1922179936 | Sha Zhu | Individual | Pediatrics Physician | Flushing, NY |
Verify this record
Cross-check NPI 1073506713 against the authoritative CMS record: view Dr. Edwin C Tan on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-07-02.