Sara Tannenbaum

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

018427 Issued in NY

Practice address

3355 Frederick St
Oceanside, NY 11572-4711

Phone

(516) 764-0608

NPI assigned

Apr 11, 2013

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1811330541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 BEACH DR",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664902",
            "telephone_number": "516-697-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 FREDERICK ST",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115724711",
            "telephone_number": "516-764-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNENBAUM",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "018427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kuncharan Sunthararajah, DPM
• Tiffany Superstein
• Daniel J Sweeney, CASAC
• Sweet Nutrition Nyc, LLC
• Sana Tahir, OD
• Gideon Phillip Tarrash, DPM
• Lucille Patricia Taverna, MD
• Russ Todd Tavroff, OTR/L
• Shari Meredith Tavroff, OTR/L
• Michael Teitcher, MD

• Occupational Therapist in Oceanside, NY
• Providers in Oceanside, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.