Andrew Barist-Tanenbaum

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

088358 Issued in NY

Practice address

111 W 90TH St Ste 1010
New York, NY 10024-1285

Phone

(929) 445-3306

NPI assigned

Mar 16, 2017

Last updated

Jan 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bridge Back to Life Center, Inc.

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1336566694
  NPD (past)
• Bridge Back to Life Center, Inc.

  • Multi-Specialty Clinic/Center
  • Bethpage, NY
  • NPI 1518918101

  Social Worker

  NPD (past)

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1790226298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 PELHAM PKWY S APT 1Q",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W 90TH ST STE 1010",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241285",
            "telephone_number": "929-445-3306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1560 Pelham Pkwy S Apt 1Q",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104611139",
            "country_code": "US",
            "telephone_number": "929-445-3306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARIST-TANENBAUM",
        "first_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-16",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "095852",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lev Barinov, MD, PHD
• Kristen Ann Barisciano, RN
• Danielle Barish, LMSW
• Lucille Barish, LCSW
• Adriana Barison, RPA-C
• Gilbert Dyves Barjon, NP
• Justin TJ Bark
• Daniel Barkan, M.D
• Nicole Barkan, CPNP AC/PC
• Barbara Ann Barker, MD

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.