Active NPI
Jini Tanenhaus, PA-C
- Physician Assistant
- New York, NY
National Provider Identifier
1477767978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 00384-1
- Practice address
- 26 Bleecker St
New York, NY 10012-2413 - Phone
- (212) 274-7340
- Fax
- (212) 274-7218
- NPI assigned
- May 10, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 00384-1 | NY | Primary |
Addresses
Primary practice location
26 Bleecker St
New York, NY 10012-2413
Mailing address
558 10TH St
Brooklyn, NY 11215-4402
Phone (718) 788-1031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000384 | NY | MD | Acupuncturist |
| 00384-1 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477767978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "558 10TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112154402",
"telephone_number": "718-788-1031",
"fax_number": "212-274-7218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 BLEECKER ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100122413",
"telephone_number": "212-274-7340",
"fax_number": "212-274-7218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANENHAUS",
"first_name": "JINI",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "00384-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.