Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JUDITH ANN TANENBAUM PAC
NPI 1184601627
Physician Assistant in Phila, PA

Active since December 27, 2005
2100 W GIRARD AVE, PHILA, PA 19130(215) 214-1094(215) 214-1098 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Judith Ann Tanenbaum Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUDITH ANN TANENBAUM PAC (NPI 1184601627) is an individual physician assistant in Phila, Pennsylvania, licensed in Pennsylvania (MA002088L) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1184601627
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJUDITH ANN TANENBAUMCredential: PAC
Location Address2100 W GIRARD AVEPhila, PA 19130
Mailing Address623 Unruh Ave, 2nd FlPhila, PA 19111 · (215) 214-1094 · Fax (215) 214-1098
Fax(215) 214-1098
Sole ProprietorNo
Enumeration DateDecember 27, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1184601627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in PA · MA002088L
Definition

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.

2100 W GIRARD AVE, Phila, PA 19130

Other Names 1

Other Name (5)Judith Ann Levine

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
2100 W GIRARD AVE
PHILADELPHIA, PA 19130
Internal Medicine
2100 W GIRARD AVE
PHILADELPHIA, PA 19130
Physical Therapy Assistant
2100 W GIRARD AVE
PHILADELPHIA, PA 19130
Internal Medicine
2100 W GIRARD AVE
PHILADELPHIA, PA 19130
Physical Therapist
2100 W GIRARD AVE
PHILADELPHIA, PA 19130
Physical Therapist
2100 W GIRARD AVE
PHILADELPHIA, PA 19130
Family Medicine
2100 W GIRARD AVE
PHILA, PA 19130
Physical Therapy Assistant
2100 W GIRARD AVE
PHILADELPHIA, PA 19130

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Judith Tanenbaum's NPI number?

The NPI number for Judith Tanenbaum is 1184601627. It was assigned to this individual provider in the NPPES registry on December 27, 2005. The provider is also known as Judith Ann Levine.

Where is Judith Tanenbaum located?

Judith Tanenbaum practices at 2100 W Girard Ave, Phila, PA 19130. The listed phone number is (215) 214-1094.

What is Judith Tanenbaum's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Judith Tanenbaum was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.