ADAM DEREK TENBROEKE NP NPI 1831730852

NPI Information

NPI: 1831730852
Provider Name: ADAM DEREK TENBROEKE, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
1425 PORTLAND AVE
ROCHESTER, NY
ZIP 14621
Phone: (585) 922-9080
Get Directions

Adam Derek Tenbroeke, NP is an acute care nurse practitioner in Rochester, NY with 5 years of experience. Adam Derek Tenbroeke, NP NPI is 1831730852. 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:

1425 PORTLAND AVE
ROCHESTER, NY
ZIP 14621-011
Phone: (585) 922-9080
Fax: (585) 922-4012

The NPI 1831730852 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/1/2019 and was last updated on 5/28/2021.

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	363LA2100X	Nurse Practitioner	Acute Care	431502	NEW YORK	Yes

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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