DR. ALAN KEITH TANNENBAUM M.D. NPI 1588747521

NPI Information

NPI: 1588747521
Provider Name: DR. ALAN KEITH TANNENBAUM, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
10 PLUM STREET
UNIVERSITY RADIOLOGY AT ROBERT WOOD JOHNSON LLC
NEW BRUNSWICK, NJ
ZIP 08901
Phone: (732) 249-4410
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DR. Alan Keith Tannenbaum, M.D. is a cardiovascular disease internal medicine in New Brunswick, NJ. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Alan Keith Tannenbaum, M.D. NPI is 1588747521. 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:

10 PLUM STREET
UNIVERSITY RADIOLOGY AT ROBERT WOOD JOHNSON LLC
NEW BRUNSWICK, NJ
ZIP 08901
Phone: (732) 249-4410
Fax: (732) 249-1208

The enumeration date for this NPI number is 10/23/2006 and was last updated on 4/8/2010.

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	174400000X	Specialist		MA048977	NEW JERSEY	No
2	207R00000X	Internal Medicine		25MA04897700	NEW JERSEY	No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	25MA04897700	NEW JERSEY	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	18141	OTHER	NEW JERSEY	AMERIGROUP
2	29269	OTHER	NEW JERSEY	BEECH STREET
3	C35173	MEDICARE UPIN	NEW JERSEY
4	448413	MEDICARE PIN	NEW JERSEY
5	060015491	OTHER	NEW JERSEY	RR MCR PTAN
6	0626708	MEDICAID	NEW JERSEY
7	060015491	OTHER	NEW JERSEY	RR MEDICARE PTAN
8	1092802	OTHER	NEW JERSEY	HORIZON NJ HEALTH
9	15634	OTHER	NEW JERSEY	UNIVERSITY HEALTH PLANS
10	F04685	OTHER	NEW JERSEY	HEALTHNET
11	M10000542 01	OTHER	NEW JERSEY	AMERICHOICE

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: 4/28/2024

NPI Synchronization or Removal

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