Individual provider Active NPI

Harold R Tanenbaum, M.D.

  • Diagnostic Radiology Physician
  • Manhasset, NY
National Provider Identifier
1689721078
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
151547 Issued in NY
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

Updated by the provider on Jun 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040329001183 NY Practitioner - Diagnostic Radiology 3274425616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Marine Park Radiology PC Diagnostic Radiology Current Accepting new patients
Marine Park Radiology PC Diagnostic Radiology CurrentSince Aug 1, 2014 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 PastSince Apr 6, 2007 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.

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

Verify at the official NPI Registry.