DR. ALAN KEITH TANNENBAUM (NPI# 1588747521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588747521 |
| Entity Type | Individual |
| Full Name | DR. ALAN KEITH TANNENBAUM |
| Credential | M.D. |
| Practice Address |
10 Plum Street University Radiology At Robert Wood Johnson LLC New Brunswick NJ 08901 |
| Mailing Address |
18 Centre Drive Suite 205 Monroe Township NJ 08831-3260 |
| Practice Telephone | 7322494410 |
| Practice Fax Number | 7322491208 |
| Mailing Telephone | 6093957600 |
| Mailing Fax Number | 6093957559 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2010-04-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | MA048977 | NJ | Other Service Providers |
| N | 207R00000X | Internal Medicine | 25MA04897700 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
25MA04897700 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | RR MCR PTAN | 060015491 | 01 |
| NJ | RR MEDICARE PTAN | 060015491 | 01 |
| NJ | HORIZON NJ HEALTH | 1092802 | 01 |
| NJ | BEECH STREET | 29269 | 01 |
| NJ | 0626708 | 05 | |
| NJ | UNIVERSITY HEALTH PLANS | 15634 | 01 |
| NJ | AMERICHOICE | M10000542 01 | 01 |
| NJ | HEALTHNET | F04685 | 01 |
| NJ | AMERIGROUP | 18141 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992046809 | Alan Harris Tannenbaum | Pediatrics | 1939 W Cheltenham Ave, Elkins Park, PA 19027-1046 | 2013-03-04 |
| 1235117342 | Alan L Tannenbaum | Internal Medicine | 523 Cape Coral Pkwy E, Cape Coral, FL 33904-8545 | 2006-01-09 |
| Street Address |
10 PLUM STREET UNIVERSITY RADIOLOGY AT ROBERT WOOD JOHNSON LLC |
| City | NEW BRUNSWICK |
| State | NJ |
| Zip Code | 08901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235126327 | Omar Mobin-uddin | Ophthalmology | 10 Plum Street, 6th. Floor Suite 600, New Brunswick, NJ 08901 | 2005-10-04 |
| 1619245230 | Ambulatory Surgical Pavilion At Robert Wood Johnson LLC | Clinic/Center | 10 Plum Street, 4th Floor, New Brunswick, NJ 08901-2066 | 2011-12-09 |
| 1710131677 | University Radiology At Robert Wood Johnson, LLC | Radiology | 10 Plum Street, New Brunswick, NJ 08901 | 2008-11-05 |
| 1114004645 | James Coromilas | Internal Medicine | 10 Plum Street, University Radiology At Robert Wood Johnson, LLC, New Brunswick, NJ 08901 | 2006-11-01 |
| 1689771784 | David A Laskow | Specialist | 10 Plum Street, 7th Floor, New Brunswick, NJ 08901 | 2006-09-20 |
| 1598785883 | Richard A Mann | Internal Medicine | 10 Plum Street, 7th Floor, New Brunswick, NJ 08901 | 2006-07-20 |
| 1225084791 | Glaucoma Institute, PC | Ophthalmology | 10 Plum Street, 6th. Floor Suite 600, New Brunswick, NJ 08901 | 2006-05-26 |
| 1245203066 | Jonathan L Prenner | Ophthalmology | 10 Plum Street, Suite 600, New Brunswick, NJ 08901 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083242622 | Daniel Kareem Haddad | Student in an Organized Health Care Education/Training Program | 1 Robert Wood Johnson Place, Meb 422a, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636588 | Neil Anjan Basumallik | Student in an Organized Health Care Education/Training Program | Rutgers Rwjms, Department of Medicine, 125 Paterson Street. Cab 7300, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636406 | Naveena Lall | Student in an Organized Health Care Education/Training Program | Rutgers Robert Wood Johnson Internal Medicine Residency, 125 Paterson Street, New Brunswick, NJ 08901 | 2020-03-30 |
| 1801444047 | Swati Vijay Dhobale | Student in an Organized Health Care Education/Training Program | Saint Peter's University Hospital, 254 Easton Avenue, 4th Floor, Cares Room 4014, New Brunswick, NJ 08901 | 2019-08-30 |
| 1962974329 | Lauren Burgstresser | Nurse Practitioner | 181 Somerset Street, 3rd Floor, New Brunswick, NJ 08901 | 2018-12-26 |
| 1851874291 | Damon House Inc. | Substance Abuse Rehabilitation Facility | 105 Joyce Kilmer Ave, New Brunswick, NJ 08901 | 2018-09-12 |
| 1245718204 | Leah Dinardo | Psychologist | 61 Nichol Ave, New Brunswick, NJ 08901 | 2018-08-01 |
| 1730667130 | Keshav Bhandari | Student in an Organized Health Care Education/Training Program | Saint Peters University Hospital, 254 Easton Avenue, 4th Floor Cares, Rm 4014, New Brunswick, NJ 08901 | 2018-07-30 |
| 1942787486 | Mehak Bassi | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-27 |
| 1063908754 | Oluwatoba Opeyemi Moninuola | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014, 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-05 |
| Find all providers in zip 08901 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942731385 | Varun Bhasin | Internal Medicine | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2017-03-27 |
| 1992188874 | Mdr Diagnostics PC | Internal Medicine | 317 George St, Suite 415, New Brunswick, NJ 08901-2008 | 2015-07-09 |
| 1063817187 | Heart and Vascular Institute of Central Jersey PC | Internal Medicine | 317 George St, Suite 440, New Brunswick, NJ 08901-2008 | 2014-10-31 |
| 1609119163 | Vascular Corrections PC | Internal Medicine | 303 George St, New Brunswick, NJ 08901-2020 | 2013-04-03 |
| 1538427422 | Heartbeat Medical PC | Internal Medicine | 303 George St, New Brunswick, NJ 08901-2020 | 2012-04-27 |
| 1346408689 | Jesus Leandro Almendral | Internal Medicine | 10 Plum St, 7th Floor, New Brunswick, NJ 08901-2065 | 2008-05-22 |
| 1295920759 | Eliot N Heller | Internal Medicine | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2007-09-07 |
| 1659579274 | Ramzan Muhammad Zakir | Internal Medicine | 317 George St, Suite 440, New Brunswick, NJ 08901-2008 | 2007-07-05 |
| 1952511875 | Clifton R. Lacy | Internal Medicine | 125 Paterson St, Suite 5200, New Brunswick, NJ 08901-1962 | 2007-05-22 |
| 1417031170 | Tudor D Vagaonescu | Internal Medicine | 125 Paterson St, 5th Floor Suite 5200, New Brunswick, NJ 08901-1962 | 2006-10-25 |
| Find all providers in NEW BRUNSWICK | ||||
| City | NEW BRUNSWICK |
| Zip Code | 08901 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.