Organization Active NPI

Myron Tanenbaum MD PA

  • Ophthalmology Physician
  • Miami, FL
National Provider Identifier
1942614771
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MYRON TANENBAUM MD PA
Practice address
7765 SW 87TH Ave
Suite Number 210
Miami, FL 33173-2596
Phone
(305) 273-5353
Fax
(305) 273-0496
NPI assigned
Jun 19, 2014
Last updated
Jun 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Authorized official

Name
Dr. Myron Tanenbaum, M.D.NPI 1225091473
Title
President
Phone
(305) 273-5353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

7765 SW 87TH Ave
Suite Number 210
Miami, FL 33173-2596

Mailing address

7765 SW 87TH Ave
Suite Number 210
Miami, FL 33173-2596
Phone (305) 273-5353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140717001884 FL Part B Supplier - Clinic/Group Practice 2961628540 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

7765 SW 87th Ave
Ste 210
Miami, FL 33173
Phone (305) 273-5353

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1942614771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7765 SW 87TH AVE",
            "address_2": "SUITE NUMBER 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732596",
            "telephone_number": "305-273-5353",
            "fax_number": "305-273-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7765 SW 87TH AVE",
            "address_2": "SUITE NUMBER 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732596",
            "telephone_number": "305-273-5353",
            "fax_number": "305-273-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRON TANENBAUM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "TANENBAUM",
        "authorized_official_first_name": "MYRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-273-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.