Active NPI
Jeffrey C Tanenbaum, DPM
- Podiatrist
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 006160
- Practice address
- 2015 Grand Concourse
Bronx, NY 10453-4303 - Phone
- (185) 837-7367
- Fax
- (718) 537-6180
- NPI assigned
- Jun 14, 2006
- Last updated
- Jun 20, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 006160 | NY | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | DP731 | TX |
Addresses
Primary practice location
2015 Grand Concourse
Bronx, NY 10453-4303
Mailing address
2626 Halperin Ave
Bronx, NY 10461-2631
Phone (718) 618-0401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092830101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Main St
Monsey, NY 10952-3704
Phone (212) 734-6621
242 Beach 20TH St
Far Rockaway, NY 11691-3618
Phone (718) 934-2211
2995 Ocean Pkwy
Brooklyn, NY 11235-8390
Phone (718) 975-3440
445 Park Ave
Brooklyn, NY 11205-2735
Phone (718) 963-0800
468 Lafayette Ave
Brooklyn, NY 11205-4809
Phone (718) 399-6234
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 63 |
| Removal of nail tissue | 577 |
| Removal or shaving of skin growth | 549 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DP731 | TX | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory Amante DPM, PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Care365 LLC | Current | Accepting new patients | |
| Foot Forward Podiatry PC | Podiatrist | Current | Accepting new patients |
| Medcare, LLC | Podiatrist | Current | Accepting new patients |
| Gentle Touch Podiatric Care PC | Podiatrist | Current | Accepting new patients |
| Essen Medical Associates, PC | Podiatrist | Current | Accepting new patients |
| House Call Medical Services of New York, PLLC | Podiatrist | Current | Accepting new patients |
| Richard Scott Kobylar J C Tanenbaum DPM PA & Associates | Foot & Ankle Surgery | Past | Accepting new patients |
| Lafayette Medical Office, PC | Podiatrist | Past | Accepting new patients |
Locations
1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200
2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
2952 Brighton 3rd St
Ste 201
Brooklyn, NY 11235
Phone (718) 975-4334
468 Lafayette Ave
Brooklyn, NY 11205
Phone (718) 399-6234
1526 New Haven Ave
Far Rockaway, NY 11691
Phone (718) 471-7200
242 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 471-0982
918 James St
Syracuse, NY 13203
Phone (315) 474-1561
918 James St
#13282
Syracuse, NY 13203
612 Corporate Way
Ste 2M
Vly Cottage, NY 10989
Phone (718) 362-1403
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Monsey, NY
- NPI 1437774882
-
- Podiatrist
- Brooklyn, NY
- NPI 1578442471
-
- Foot & Ankle Surgery Podiatrist
- Brooklyn, NY
- NPI 1063715142
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
-
- Podiatrist
- Staten Island, NY
- NPI 1487314332
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1851345946
Podiatrist
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1730454083
-
- Podiatrist
- Bronx, NY
- NPI 1720799158
-
- Podiatrist
- Brooklyn, NY
- NPI 1912004995
-
dba J.C. Tanenbaum, DPM, PA, and Associates
- Foot & Ankle Surgery Podiatrist
- Bay City, TX
- NPI 1013107853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750377600000",
"number": "1346283298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 HALPERIN AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104612631",
"telephone_number": "718-618-0401",
"fax_number": "347-479-1303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104534303",
"telephone_number": "185-837-7367",
"fax_number": "718-537-6180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANENBAUM",
"first_name": "JEFFREY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2025-06-20",
"certification_date": "2025-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "006160",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TX",
"license": "DP731",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092830101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.