Active NPI
Elan Tenenbaum
- Physical Medicine & Rehabilitation Physician
- Palm Beach, FL
National Provider Identifier
1265004212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PT8447
- Practice address
- 350 S County Rd
Palm Beach, FL 33480-4481 - Phone
- (561) 389-6306
- NPI assigned
- Jul 10, 2021
- Last updated
- Jul 10, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PT8447 | FL | Primary |
Addresses
Primary practice location
350 S County Rd
Palm Beach, FL 33480-4481
Mailing address
350 S County Rd
Palm Beach, FL 33480-4481
Phone (561) 389-6306
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT8447 | Other | FL | INSURANCE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT8447 | FL | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625875200000",
"number": "1265004212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 S COUNTY RD",
"city": "PALM BEACH",
"state": "FL",
"postal_code": "334804481",
"telephone_number": "561-389-6306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 S COUNTY RD",
"city": "PALM BEACH",
"state": "FL",
"postal_code": "334804481",
"telephone_number": "561-389-6306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENENBAUM",
"first_name": "ELAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-10",
"last_updated": "2021-07-10",
"certification_date": "2021-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "PT8447",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSURANCE",
"identifier": "PT8447",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palm Beach, FL
- Suddha Pharmacy, LLC (Fedco Drugs)
- Suddha Pharmacy, LLC (Fedco Drugs)
- Suddha Pharmacy, LLC (Fedco Drugs LTC)
- Daniel Sullivan, P.T.
- Richard David Sulman, D.O.
- The Offices of Dr Paul Melchiorre PLLC
- Therapy Now Solutions
- Lawresa Cono Toomey, LCSW
- Town of Palm Beach (Palm Beach Fire Rescue)
- Daniel H Trachtenberg, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.