Ilene Tannenbaum, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

F420087 Issued in NY

Practice address

2900 Bedford Ave
114 Roosevelt
Brooklyn, NY 11210-2850

Phone

(718) 951-5580

Fax

(718) 951-5869

NPI assigned

Apr 17, 2007

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: ilene.tannenbaum.1@14367.direct.athenahealth.com

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467678763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 E 18TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301802",
            "telephone_number": "718-859-9269",
            "fax_number": "718-951-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 BEDFORD AVE",
            "address_2": "114 ROOSEVELT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102850",
            "telephone_number": "718-951-5580",
            "fax_number": "718-951-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNENBAUM",
        "first_name": "ILENE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F420087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pramodkumar Tanna, R.PH.
• Simran Tanna, MD
• Sarah Tannebaum, M.S.,ED.
• Adena R Tannenbaum, CNM
• Avigayil Tannenbaum
• Judith Tannenbaum
• Karinna Tannenbaum
• M David Tannenbaum, DDS
• Malka Tannenbaum
• Maxine Tannenbaum, OTR/L

• Women's Health Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Women's Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.