Malka Tannenbaum

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

6210 15TH Ave
Brooklyn, NY 11219-5403

Phone

(718) 303-9400

NPI assigned

Mar 4, 2025

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Williamsburg Infant & Early Childhood Development Center, Inc.

  dba Eis Laasois Child Development Services

  • Behavior Analyst
  • Brooklyn, NY
  • NPI 1659804656
  NPD (past)

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1689472946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1564 51ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112191095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 15TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112195403",
            "telephone_number": "718-303-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNENBAUM",
        "first_name": "MALKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avigayil Tannenbaum
• Ilene Tannenbaum, NP
• Judith Tannenbaum
• Karinna Tannenbaum
• M David Tannenbaum, DDS
• Maxine Tannenbaum, OTR/L
• Andre Edward Tanner, PEER SPECIALIST
• Elliott Mitchell Tanner, MD
• Haley Tanner
• Koren Tanner, CRPA-P-8510

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.