Adina Tanenbaum, MS,CCC,SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

009546-1 Issued in NY

Practice address

750 Mador CT
Far Rockaway, NY 11691-5319

Phone

(718) 327-0248

NPI assigned

Jun 25, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1821226150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MADOR CT",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915319",
            "telephone_number": "718-327-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MADOR CT",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915319",
            "telephone_number": "718-327-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANENBAUM",
        "first_name": "ADINA",
        "credential": "MS,CCC,SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "009546-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Funmilola Taiwo, RN
• Samer Takmaje
• Igor A. Talis, D.O.
• Farhana Hossain Tamanna, DO
• Sorah Tamir, COTA
• Jay A Tanoy, PT
• Maher Tarabichi, M.D.
• Viktoria Taranto, MD, DO
• Yolanda Tart
• Michael George Tartell, M.D.

• Speech-Language Pathologist in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.