Active NPI
Harold R Tanenbaum, M.D.
- Diagnostic Radiology Physician
- Manhasset, NY
National Provider Identifier
1689721078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 151547
- Practice address
- 33 Kensington Cir
Manhasset, NY 11030-4104 - Phone
- (917) 754-8363
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 151547 | NY | Primary |
Addresses
Primary practice location
33 Kensington Cir
Manhasset, NY 11030-4104
Mailing address
33 Kensington Cir
Manhasset, NY 11030-4104
Phone (917) 754-8363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marine Park Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Marine Park Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Comprehensive Imaging of New York | Past | Accepting new patients | |
| 113TH Street Medical Group, PC | Diagnostic Radiology | Past | Accepting new patients |
| Saturn Radiology PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Downtown Bronx Medical Associates PC | Past | Accepting new patients | |
| Harold R Tanenbaum MD PC | Diagnostic Radiology | Past | Accepting new patients |
| Lincon Medical and Mental Center | Diagnostic Radiology | Past | Accepting new patients |
Locations
2270 Kimball St
Ste 102
Brooklyn, NY 11234
Phone (718) 253-6616
2270 Kimball St
#103
Brooklyn, NY 11234
Phone (718) 253-6616
Organizations & group practices 8
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.
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1053362699
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1871613208
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1639217425
-
- Diagnostic Radiology Physician
- Forest Hills, NY
- NPI 1710186903
-
- Specialist
- Oceanside, NY
- NPI 1568451748
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bronx, NY
- NPI 1689618407
-
- Critical Access Hospital
- Bronx, NY
- NPI 1902979651
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Buffalo, NY
- NPI 1063656197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433462400000",
"number": "1689721078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 KENSINGTON CIR",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110304104",
"telephone_number": "917-754-8363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 KENSINGTON CIR",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110304104",
"telephone_number": "917-754-8363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANENBAUM",
"first_name": "HAROLD",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2015-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "151547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.