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Active NPI 1184601627 Individual Practitioner Female Practitioner

Judith Ann Tanenbaum , PA-C

Physician Assistant • Phila, PA

Professional Overview & Biography Verified Profile Summary

Judith Tanenbaum, PA-C is a registered healthcare professional specializing in Physician Assistant in Phila, PA. Practice services are available at 2100 W GIRARD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2100 W Girard Ave

Phila, PA 19130

Telephone 2152141094
Fax 2152141098

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Phila, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.7 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
10 Specialists

Practicing in Phila, PA (8068 Statewide)

Telehealth Adoption Rate
0.0% 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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License PA MA002088L

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1164690327

Doctor of Medicine (M.D.)

Dr. Dennis Eneanya , MD

Internal Medicine

NPI 1699751230

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2100 W GIRARD AVE, PHILA, PA 19130 (Tel: 2152141094)

📍
Updated Business Mailing Address July 08, 2007

Registered at 623 UNRUH AVE, 2ND FL, PHILA, PA 19111 (Tel: 2152141094)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JUDITH TANENBAUM, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #MA002088L in PA)

🟢
Initial NPI Registration & Enumeration December 27, 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: 1184601627
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 27, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

623 Unruh Ave, 2nd Fl

Phila, PA 19111

Phone: 2152141094

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.