Eric Tannenbaum

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01622 Issued in NJ

Practice address

2500 Morris Ave Ste 200
Union, NJ 07083-5675

Phone

(908) 688-8628

Fax

(908) 688-8696

NPI assigned

Aug 27, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Rutgers School of Dental Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

All Care Physical Therapy and Sports Training LLCGroup PAC ID 8628176435, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• All Care Physical Therapy & Sports Training LLC

  • Physical Therapy Clinic/Center
  • Union, NJ
  • NPI 1346457199
  Medicare reassignment Care Compare group NPD
• Madison PT of New Jersey, PC

  • Physical Therapist
  • Westwood, NJ
  • NPI 1740369347
  NPD (past)

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1134596950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MORRIS AVE STE 200",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835675",
            "telephone_number": "908-688-8628",
            "fax_number": "908-688-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MORRIS AVE STE 200",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835675",
            "telephone_number": "908-688-8628",
            "fax_number": "908-688-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNENBAUM",
        "first_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Taiwo
• Afnan Talat, MD
• Talkchiatry LLC
• Talkchiatry LLC
• Cynthia L Tamburino, PA-C
• Anjum Tanwir, M.D.
• Kendra Tanwir, DNP
• Frank Tarantini, MD
• Lauren Anne Tarnok, M.D.
• Madelene Resurreccion Taruc, RN

• Physical Therapist in Union, NJ
• Providers in Union, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.