TIFFANY CHAN (M.D.) – Emergency Medicine Physician, NPI 1124413265
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,703 EMERGENCY MEDICINE in NJ
Provider Addresses for TIFFANY CHAN (M.D.)
30 BERGEN ST
EMERGENCY MEDICINE, ADMC-11, RM 1110
NEWARK, NJ 071073000
Phone: (973) 972-9261
Fax: (973) 972-9268
Type: Mailing
110 IRVING ST NW STE 2A38M
WASHINGTON, DC 200103017
Phone: (202) 877-4677
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-05-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190917002563 | I | Emergency Medicine | MD | TBD |
| I20200527003457 | I | Emergency Medicine | DC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 211 | 208 | $0 |
| 93042 | Electrocardiogram (ecg) 1 to 3 leads with review by physician only | 145 | 143 | $0 |
| 99291 | Critical care, first 30-74 minutes | 99 | 98 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 36 | 36 | $0 |
| 99292 | Critical care, each additional 30 minutes | 24 | 21 | $0 |
Insurance plans in this area (ZIP 07107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | DC | |
| - | PA | |
| - | DC | |
| - | DC | |
| - | DC | |
| - | MD | |
| Emergency Medicine, Internal Medicine | MD | |
| Emergency Medicine | MD | |
| Emergency Medicine | LA | |
| Emergency Medicine | FL |
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