Individual provider Active NPI

Adrien Tanenbaum, M.D.

  • Internal Medicine Physician
  • West Milford, NJ
National Provider Identifier
1851670129
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA9753700 Issued in NJ
Practice address
179 Cahill Cross Rd
West Milford, NJ 07480-1988
Phone
(973) 728-1880
NPI assigned
Aug 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 286011 NY
Internal Medicine Physician 207R00000X 25MA9753700 NJ Primary

Addresses

Primary practice location

179 Cahill Cross Rd
West Milford, NJ 07480-1988

Mailing address

179 Cahill Cross Rd
West Milford, NJ 07480-1988

Other practice location 1

1500 N James St
Rome, NY 13440-2844
Phone (315) 338-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151116001043 NJ Practitioner - Internal Medicine 8426368804 Reassigns benefits to 2 organizations
I20241127003350 NY Practitioner - Internal Medicine 8426368804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Josephs Medical PCGroup PAC ID 4688855844, 388 clinicians
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

1500 N James St
Rome, NY 13440-2844
Phone (315) 338-7000

179 Cahill Cross Rd
Suite 314
West Milford, NJ 07480-1988
Phone (973) 728-1880

5100 W Taft Rd
Liverpool, NY 13088-4841

Hospital & facility affiliations

  • Valley Home Care Inc. Home health agency, Paramus, NJ, CCN 317008
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • Rome Memorial Hospital, Inc Hospital, Rome, NY, CCN 330215
  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA9753700NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Medical PC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
North Medical PC Internal Medicine Current Accepting new patients
Medical Associates of Englewood, PC Internal Medicine CurrentSince Dec 1, 2024 Accepting new patients
Hunterdon Medical Center CurrentSince Oct 15, 2015 Accepting new patients
Hunterdon Medical Center CurrentSince Oct 15, 2015 Accepting new patients
Rome Memorial Hospital, Inc. Past Accepting new patients
Vital Medical Forces of Dover PC Internal Medicine PastSince Mar 28, 2021 Accepting new patients

Locations

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

3 Minneakoning Rd
Flemington, NJ 08822
Phone (908) 284-1125

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

179 Cahill Cross Rd
Ste 314
West Milford, NJ 07480
Phone (973) 728-1880

1199 Pleasant Valley Way
West Orange, NJ 07052
Phone (973) 414-4755

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

1500 N James St
Rome, NY 13440
Phone (315) 338-7000

301 Prospect Ave
Ofc
Syracuse, NY 13203
Phone (315) 448-2876

Organizations & group practices 7

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.

Hospital & facility affiliations 11

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": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1851670129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 CAHILL CROSS RD",
            "city": "WEST MILFORD",
            "state": "NJ",
            "postal_code": "074801988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 CAHILL CROSS RD",
            "city": "WEST MILFORD",
            "state": "NJ",
            "postal_code": "074801988",
            "telephone_number": "973-728-1880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 N James St",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "NY",
            "postal_code": "134402844",
            "country_code": "US",
            "telephone_number": "315-338-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANENBAUM",
        "first_name": "ADRIEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "286011",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA9753700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Milford, NJ

Sources for this page

Verify at the official NPI Registry.