Steven Y Tennenbaum, M.D.

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

License

165684 Issued in NY

Practice address

699 Teaneck Rd
Room 103
Teaneck, NJ 07666-4244

Phone

(201) 692-9550

Fax

(201) 692-1363

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: steven.tennenbaum@direct.hobokenumc.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Humc Opco LLC

  • General Acute Care Hospital
  • Hoboken, NJ
  • NPI 1043475668
  NPD
• Terry W. Hensle MD. LLC

  • Specialist
  • Teaneck, NJ
  • NPI 1790108538
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1124041827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 TEANECK RD",
            "address_2": "ROOM 103",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664244",
            "telephone_number": "201-692-9550",
            "fax_number": "201-692-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 TEANECK RD",
            "address_2": "ROOM 103",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664244",
            "telephone_number": "201-692-9550",
            "fax_number": "201-692-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNENBAUM",
        "first_name": "STEVEN",
        "middle_name": "Y",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NY",
            "license": "165684",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "165684",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01255898",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "86F62",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "GS333",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "1000042",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2C1363",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/U.S.HEALTHCARE",
            "identifier": "4225633",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurynn Teixeira
• Yornelis Tejada
• Tiffany Temes
• Tenafly Medical Group
• Tender Handlings Home Care LLC
• Terry W. Hensle MD. LLC
• Terry W. Hensle, M.D., LLC
• Ngoc L Thai, MD
• Lal C Tharakan, DDS
• The Arc of Bergen and Passaic Counties, Inc.

• Pediatric Surgery Physician in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Pediatric Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.