Active NPI
Madeline Feldman Tannenbaum, M.A.
- Audiologist
- New Haven, CT
National Provider Identifier
1255578613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 000119
- Practice address
- 1423 Chapel St
New Haven, CT 06511-4411 - Phone
- (203) 787-4647
- NPI assigned
- Jan 7, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 000119 | CT | Primary |
Addresses
Primary practice location
1423 Chapel St
New Haven, CT 06511-4411
Mailing address
280 Burrage CT
Cheshire, CT 06410-3040
Phone (203) 272-8022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000119 | CT | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231286400000",
"number": "1255578613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 BURRAGE CT",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064103040",
"telephone_number": "203-272-8022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1423 CHAPEL ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065114411",
"telephone_number": "203-787-4647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNENBAUM",
"first_name": "MADELINE",
"middle_name": "FELDMAN",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-07",
"last_updated": "2009-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CT",
"license": "000119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.