David Tenembaum MD PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

DAVID TENEMBAUM MD PC

Practice address

9001 Roosevelt Ave Ste 2a
Jackson Heights, NY 11372-7938

Phone

(718) 396-2005

Fax

(718) 396-2006

NPI assigned

Jan 24, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Tenembaum, MDNPI 1043453962

Title

President

Phone

(516) 317-1379

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Tenembaum, MD

  • Gastroenterology Physician
  • Jackson Heights, NY
  • NPI 1043453962
  Medicare reassignment Care Compare group NPD Authorized official
• Miroslav Rade Radevic, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Eatontown, NJ
  • NPI 1275779894

  NY

  Medicare reassignment Care Compare group NPD
• Jessica Arleny Fernandez, NP

  • Adult Health Nurse Practitioner
  • Flushing, NY
  • NPI 1053832477
  Medicare reassignment NPD

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1669124236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 LINCOLN RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105837246",
            "telephone_number": "516-317-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 ROOSEVELT AVE STE 2A",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727938",
            "telephone_number": "718-396-2005",
            "fax_number": "718-396-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID TENEMBAUM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "TENEMBAUM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-317-1379",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Dauhajre, MD
• Richard Dauhajre, M.D.
• Pradyuman B Dave, M.D.
• David B. Goodman D.D.S. , Stephen a. Festa D.D.D.
• David Szuster Psychiatry P.C.
• Darwin Davis, OTR/L
• Tasheema Davis
• Amirjon Davlatov, DDS
• Dazzling Smile of Astoria D/B/a 82ND Street Dental
• Juan Carlos De Fex, DDS

• Gastroenterology Physician in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.