Organization Active NPI

Sheila Tanenbaum MD PC

  • Physical Medicine & Rehabilitation Physician
  • New Rochelle, NY
National Provider Identifier
1972829679
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
099091 Issued in NY
Legal business name
SHEILA TANENBAUM MD PC
Practice address
1270 North Ave
New Rochelle, NY 10804-2601
Phone
(914) 633-1644
Fax
(914) 219-1102
NPI assigned
Apr 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Authorized official

Name
Dr. Sheila Tanenbaum, MD
Title
President
Phone
(914) 633-1644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X 099091 NY Primary

Addresses

Primary practice location

1270 North Ave
New Rochelle, NY 10804-2601

Mailing address

1270 North Ave
New Rochelle, NY 10804-2601
Phone (914) 633-1644

Other identifiers 1

IdentifierTypeStateIssuer
1588668479MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1972829679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 NORTH AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108042601",
            "telephone_number": "914-633-1644",
            "fax_number": "914-219-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 NORTH AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108042601",
            "telephone_number": "914-633-1644",
            "fax_number": "914-219-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEILA TANENBAUM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "TANENBAUM",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-633-1644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "099091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588668479",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.