STEVEN Y TENNENBAUM M.D. NPI 1124041827

NPI Information

NPI: 1124041827
Provider Name: STEVEN Y TENNENBAUM, M.D.
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

Address:
699 TEANECK RD
ROOM 103
TEANECK, NJ
ZIP 07666
Phone: (201) 692-9550
Get Directions

Steven Y Tennenbaum, M.D. is a pediatric surgery surgery in Teaneck, NJ. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Steven Y Tennenbaum, M.D. NPI is 1124041827. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

699 TEANECK RD
ROOM 103
TEANECK, NJ
ZIP 07666-244
Phone: (201) 692-9550
Fax: (201) 692-1363

The enumeration date for this NPI number is 7/25/2006 and was last updated on 3/9/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208800000X	Urology		165684	NEW YORK	No
2	2086S0120X	Surgery	Pediatric Surgery	165684	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4225633	OTHER	NEW YORK	AETNA/U.S.HEALTHCARE
2	86F62	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
3	01255898	MEDICAID	NEW YORK
4	2C1363	OTHER	NEW YORK	HEALTHNET
5	GS333	OTHER	NEW YORK	OXFORD
6	86F62	OTHER	NEW YORK	BLUE SHIELD
7	1000042	OTHER	NEW YORK	GHI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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