DR. MARK TANENBAUM (NPI# 1689656399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689656399 |
| Entity Type | Individual |
| Full Name | DR. MARK TANENBAUM |
| Credential | D.P.M. |
| Practice Address |
1648 E 14th St Brooklyn NY 11229-1175 |
| Mailing Address |
415 E 52nd St Apt 7bc New York NY 10022-9033 |
| Practice Telephone | 7186270585 |
| Practice Fax Number | 7182284930 |
| Mailing Telephone | 7186270585 |
| Mailing Fax Number | 7182284930 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2016-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | N003136 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00540987 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093817298 | Mark Harris Tanenbaum | Dermatology | 760 Brookhaven Circle, Memphis, TN 38117 | 2006-09-01 |
| 1114929247 | Mark P. Tanenbaum | Internal Medicine | 4660 Kenmore Ave Ste 1200, Alexandria, VA 22304-1311 | 2005-06-01 |
| Street Address |
1648 E 14TH ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11229-1175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225028467 | Doris Ohevshalom | Dentist | 1648 E 14th St, Suite# 4, Brooklyn, NY 11229 | 2005-10-27 |
| 1689073744 | Inzlicht, Lewin & Winiarsky Md, Pllc | Internal Medicine | 1648 E 14th St, Brooklyn, NY 11229-1191 | 2014-08-14 |
| 1265714257 | Tal Meital Zadok | Counselor | 1648 E 14th St, Brooklyn, NY 11229-1191 | 2011-09-15 |
| 1598856676 | Andrew Stuart Gegerson | Podiatrist | 1648 E 14th St, Brooklyn, NY 11229-1175 | 2006-09-27 |
| 1295778041 | Family Medicine Practice, LLC | Family Medicine | 1648 E 14th St, Suite B, Brooklyn, NY 11229-1191 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063041291 | Nastasia Shygaieva | Counselor | 2 Ivan Court, House, Brooklyn, NY 11229 | 2020-04-08 |
| 1700430253 | Nicole Komisar | Case Manager/Care Coordinator | 2148 Ocean Avenu Suite 302, Brooklyn, NY 11229 | 2019-08-01 |
| 1639723950 | Refuah Diagnostics LLC | Technician | 1988 East 22nd Street, Ground Floor, Brooklyn, NY 11229 | 2019-07-25 |
| 1235792987 | Igor Kulishov | Counselor | 1623 Kings Highway, Brooklyn, Ny 11229, Brooklyn, NY 11229 | 2019-04-18 |
| 1477016145 | Natalia Roth | Nurse Practitioner | Visiting Nurse Service of New York, 1630 East 15 St, 3 Fl, NY 11229 | 2019-04-10 |
| 1942769930 | 1st Care Nj LLC | Case Management | 3919 Bedford Ave, Brooklyn, NY 11229 | 2019-03-18 |
| 1689138505 | Expert Home Care, Inc. | Home Health Aide | 1906 Kings Highway, 2nd Floor, Brooklyn, NY 11229 | 2019-01-24 |
| 1881167732 | Luba's Homecare Inc. | Home Health | 2518 Ocean Ave., Cellar Floor, Brooklyn, NY 11229 | 2019-01-03 |
| 1073084216 | Gem Therapy LLC | Early Intervention Provider Agency | 1674 East 19th Street, 2fl, Brooklyn, NY 11229 | 2018-12-16 |
| 1316412356 | Rina Barkhordarzadeh | Speech-Language Pathologist | 1925 Stuart Street, Brooklyn, NY 11229 | 2018-10-05 |
| Find all providers in zip 11229 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942850250 | Pedirite Medical Nj LLC | Podiatrist | 267 Broadway Fl 2, Brooklyn, NY 11211-6216 | 2019-09-18 |
| 1063999183 | Abinash Mishra | Podiatrist | 1360 New York Ave Apt 6f, Brooklyn, NY 11210-6236 | 2018-07-21 |
| 1659863454 | Neil Golombeck Dpm PC | Podiatrist | 4715 13th Ave, Brooklyn, NY 11219-2668 | 2018-06-06 |
| 1497268411 | Marianna Blokh Dpm, P.C. | Podiatrist | 3319 Kings Hwy Apt 1j, Brooklyn, NY 11234-2622 | 2017-11-13 |
| 1972028827 | New York University | Podiatrist | 1309 Avenue P Lowr Level, Brooklyn, NY 11229-1164 | 2017-08-11 |
| 1407241599 | Benish Piracha | Podiatrist | 153 Bay 26th St #1, Brooklyn, NY 11209 | 2015-04-06 |
| 1326450099 | Yana Akselrud | Podiatrist | 2035 Ralph Ave Ste A4, Brooklyn, NY 11234-5300 | 2014-05-28 |
| 1174870059 | Coney Island Medical Services PC | Podiatrist | 178 Avenue S, Brooklyn, NY 11223-2633 | 2012-08-09 |
| 1407114358 | Irina Blustein | Podiatrist | 2680 E 28th St, Brooklyn, NY 11235-2425 | 2012-04-29 |
| 1871850206 | Margarita Presman | Podiatrist | 7408 Avenue T, Brooklyn, NY 11234-6205 | 2012-04-23 |
| Find all providers in BROOKLYN | ||||
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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.