STEVEN Y TENNENBAUM (NPI# 1124041827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124041827 |
| Entity Type | Individual |
| Full Name | STEVEN Y TENNENBAUM |
| Credential | M.D. |
| Practice Address |
699 Teaneck Rd Room 103 Teaneck NJ 07666-4244 |
| Practice Telephone | 2016929550 |
| Practice Fax Number | 2016921363 |
| Mailing Telephone | 2016929550 |
| Mailing Fax Number | 2016921363 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2011-03-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
165684 | NY | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 165684 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01255898 | 05 | |
| NY | GHI | 1000042 | 01 |
| NY | BLUE SHIELD | 86F62 | 01 |
| NY | HEALTHNET | 2C1363 | 01 |
| NY | AETNA/U.S.HEALTHCARE | 4225633 | 01 |
| NY | OXFORD | GS333 | 01 |
| Street Address |
699 TEANECK RD ROOM 103 |
| City | TEANECK |
| State | NJ |
| Zip Code | 07666-4244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861453300 | Elizabeth Reiley | Urology | 699 Teaneck Rd, Teaneck, NJ 07666-4244 | 2006-03-31 |
| 1104243377 | University Radiology Teaneck, LLC | Radiology | 699 Teaneck Rd, Teaneck, NJ 07666-4244 | 2014-03-25 |
| 1396033924 | Terry W. Hensle, M.d., LLC | Urology | 699 Teaneck Rd, Teaneck, NJ 07666-4244 | 2011-07-18 |
| 1366635427 | Robert A Adair M D P A | Internal Medicine | 699 Teaneck Rd, Suite 101, Teaneck, NJ 07666-4244 | 2007-08-22 |
| 1518183938 | Darius Paris Melisaratos | Specialist | 699 Teaneck Rd, Teaneck, NJ 07666-4244 | 2007-04-17 |
| 1588710024 | Michael G Kailas | Psychiatry & Neurology | 699 Teaneck Rd, Suite 106, Teaneck, NJ 07666-4244 | 2007-01-26 |
| 1932253309 | Terry W Hensle | Specialist | 699 Teaneck Rd, Suite 103, Teaneck, NJ 07666-4244 | 2007-01-23 |
| 1790725661 | Asher C. Goldstein | Physical Medicine & Rehabilitation | 699 Teaneck Rd, Suite 101, Teaneck, NJ 07666 | 2006-06-07 |
| 1023063344 | Elizabeth Reiley Md Pa | Urology | 699 Teaneck Rd, Teaneck, NJ 07666-4244 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047096 | Erica Marie Edmondson | Massage Therapist | 780 New Bridge Rd., Teaneck, NJ 07666 | 2020-09-09 |
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1043870108 | Etti Miriram Hochberg Schaap | Social Worker | Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 | 2019-06-19 |
| 1003309428 | Holy Name Medical Center Inc | Pharmacy | 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 | 2018-06-11 |
| 1619494150 | Synergy Homecare of Bergen County | In Home Supportive Care | 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 | 2017-08-25 |
| 1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
| 1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
| 1356875934 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Palisade Avenue, Teaneck, NJ 07666 | 2017-04-20 |
| 1902358427 | Tamar Danzger | Social Worker | 530 Ogden Ave, Teaneck, NJ 07666 | 2016-11-01 |
| 1376093724 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Cedar Ln, Teaneck, NJ 07666 | 2016-10-10 |
| Find all providers in zip 07666 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104064971 | Victoriya Staab | Surgery | 4 Industrial Way, Suite 100, Eatontown, NJ 07724-4238 | 2009-01-31 |
| 1699937961 | Meridian Pediatric Surgical Associates, P.C. | Surgery | 4 Industrial Way W Ste 100, Eatontown, NJ 07724-4239 | 2008-06-27 |
| 1487851366 | Joseph Sujai Udomsaph | Surgery | 7 Baltic St, Edison, NJ 08820-2724 | 2007-07-02 |
| 1851355317 | Saverio Joseph Panzarino | Surgery | 53 Sentinel Dr, Basking Ridge, NJ 07920-4231 | 2006-04-13 |
| 1205812005 | Saad A Saad | Surgery | 615 Hope Rd, Bld 1 A, Eatontown, NJ 07724-1277 | 2005-12-22 |
| 1417591645 | Stc Pediatrics LLC | Surgery | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-31 |
| 1083939573 | Jennifer M Murphy | Surgery | 100 Madison Avenue, Farris Building, Third Floor, Morristown, NJ 07960 | 2010-03-29 |
| 1649463696 | Cooper Surgical Asscociates | Surgery | 3 Cooper Plz, Suite 411, Camden, NJ 08103-1438 | 2007-08-23 |
| 1528265279 | Joelle Pierre | Surgery | One Robert Wood Johnson Place, Department of Pediatric Surgery, New Brunswick, NJ 08903 | 2007-06-27 |
| 1932223203 | Saad A Saad Md Pa | Surgery | 615 Hope Rd, Eatontown, NJ 07724-1277 | 2007-03-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.