NPIMap

Individual provider Active NPI

Elad Tennen

  • Sports Medicine (Family Medicine) Physician
  • Manasquan, NJ
National Provider Identifier
1700221561
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
25MA10042000 Issued in NJ
Practice address
2315 Highway 34 Ste D
Manasquan, NJ 08736-1444
Phone
(732) 974-0404
NPI assigned
May 7, 2013
Last updated
Oct 19, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 25MA10042000 NJ Primary

Addresses

Primary practice location

2315 Highway 34 Ste D
Manasquan, NJ 08736-1444

Mailing address

2315 Highway 34 Ste D
Manasquan, NJ 08736-1444
Phone (732) 974-0404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171004002029 NJ Practitioner - Sports Medicine 3870868672 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

80 Oak Hill Rd
Red Bank, NJ 07701-5727
Phone 7327412313167

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.28 of 100Reported as group
Quality
43.41
Promoting interoperability
87
Improvement activities
40
Cost
65.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10042000NJMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Sports Medicine and Rehabilitation Center, LLC CurrentSince Sep 7, 2022 Accepting new patients
Orthonj LLC CurrentSince Mar 1, 2020 Accepting new patients
Orthonj LLC CurrentSince Mar 1, 2020 Accepting new patients
Orthopaedic Sports Medicine and Rehabilitation Center, LLC CurrentSince Sep 7, 2022 Accepting new patients

Locations

2315 Route 34
Manasquan, NJ 08736
Phone (732) 974-0404

2315 Route 34
Ste D
Manasquan, NJ 08736
Phone (732) 974-0404

5 Plainsboro Rd
Ste 100
Plainsboro, NJ 08536
Phone (609) 750-1600

365 Broad St
Red Bank, NJ 07701
Phone (732) 747-7077

80 Oak Hill Rd
Red Bank, NJ 07701
Phone (732) 741-2313

226 Route 37 W
Toms River, NJ 08755
Phone (732) 240-6060

Interoperability endpoints

  • Direct secure messaging: elad.tennen@ort.eclinicaldirectplus.com

Organizations & group practices 4

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

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1700221561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 HIGHWAY 34 STE D",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361444",
            "telephone_number": "732-974-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 HIGHWAY 34 STE D",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361444",
            "telephone_number": "732-974-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNEN",
        "first_name": "ELAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-07",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MA10042000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

Verify at the official NPI Registry.