Benjamin Tannenbaum, D.C., FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

342001 Issued in NY

Practice address

496 Smithtown Byp Ste 200
Smithtown, NY 11787-5011

Phone

(631) 361-5300

Fax

(631) 361-5301

NPI assigned

Jul 20, 2006

Sex

Male

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)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23033/brand/1/csg/1/fhir/r4

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.

• Kalter Physical Medicine & Rehabilitation PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Smithtown, NY
  • NPI 1720526999
  NPD (past)
• MK Spine and Joint Rehab, P.C.

  • Pain Clinic/Center
  • Hauppauge, NY
  • NPI 1699239715
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1912927047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 PLYMOUTH ST",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522436",
            "telephone_number": "516-385-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 SMITHTOWN BYP STE 200",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875011",
            "telephone_number": "631-361-5300",
            "fax_number": "631-361-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNENBAUM",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "D.C., FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011198",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilian F Taku
• Doris Tamai, D.O.
• Katelin Tambasco
• Bryan Tamburro, DMD
• Mark Tan, M.D.
• Patrick Tansey, CRNA
• Cynthia Ann Taormina, LMHC
• Kelly Taurisano
• Kristine Tavantzis, BA
• Kathleen Celia Taveras, LMSW

• Family Nurse Practitioner in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.