Malka Tennenhaus

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1915 Forest Ave
Staten Island, NY 10303-2127

Phone

(718) 981-3136

NPI assigned

May 16, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: malka.tennenhaus@samaritanvillage.org

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1487391090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 DAKOTA ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070553331",
            "telephone_number": "201-364-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103032127",
            "telephone_number": "718-981-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNENHAUS",
        "first_name": "MALKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Malka.Tennenhaus@samaritanvillage.org",
            "affiliation": "Y",
            "affiliationName": "Samaritan Daytop Village, Inc.",
            "address_1": "14401 Jamaica Ave",
            "city": "Jamaica",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114353601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Juliana Teodoro
• Bradley Teoh
• Courtney Tepedino, WHNP

• Social Worker in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.