Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689656399 Individual Practitioner Male Practitioner

Dr. Mark Tanenbaum , DPM

Podiatrist • Brooklyn, NY

Professional Overview & Biography Verified Profile Summary

Dr. Mark Tanenbaum, DPM is a registered healthcare professional specializing in Podiatrist in Brooklyn, NY. Practice services are available at 1648 E 14TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1648 E 14th St

Brooklyn, NY 112291175

Telephone 7186270585
Fax 7182284930
Associated Practice Facility / Clinic
🏢 Family Medicine Practice, Llc Facility NPI 1295778041

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Brooklyn, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.5 Yrs
State Avg: 32.6 Yrs
Regional Practice Density
170 Specialists

Practicing in Brooklyn, NY (1366 Statewide)

Telehealth Adoption Rate
2.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License NY N003136

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00540987 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Doris Ohevshalom

Dentist - General Practice

NPI 1225028467
Tal Zadok

Counselor - Mental Health

NPI 1265714257
Esther Green , RDN

Dietitian, Registered

NPI 1285459586

Registered Dietitian Nutritionist

Dr. Andrew Gegerson , DPM

Podiatrist - Foot Surgery

NPI 1598856676

Doctor of Podiatric Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 28, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 28, 2016

Registered at 1648 E 14TH ST, BROOKLYN, NY 112291175 (Tel: 7186270585)

📍
Updated Business Mailing Address April 28, 2016

Registered at 415 E 52ND ST, APT 7BC, NEW YORK, NY 100229033 (Tel: 7186270585)

👤
Provider Name / Credentials Updated April 28, 2016

Recorded as MARK TANENBAUM, D.P.M.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2016

Podiatrist (License #N003136 in NY)

🟢
Initial NPI Registration & Enumeration November 17, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689656399
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 17, 2005
Last Update: April 28, 2016
Sole Proprietor: Yes

Mailing Address

415 E 52nd St, Apt 7bc

New York, NY 100229033

Phone: 7186270585

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.