LARRY J TIEFENBRUNN M.D.
NPI 1336118025
Pediatrics - Adolescent Medicine in East Brunswick, NJ

Q: What is Larry Tiefenbrunn's NPI number?

The NPI number for Larry Tiefenbrunn is 1336118025. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Q: What is Larry Tiefenbrunn's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Larry Tiefenbrunn was last updated on March 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 15, 2006PECOS Enrolled

503 CRANBURY RD, EAST BRUNSWICK, NJ 08816(732) 390-8400(732) 390-8970 Get Directions Write a Review

NPPES record last updated: March 15, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Larry J Tiefenbrunn M.d. NPPES

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

LARRY J TIEFENBRUNN M.D. (NPI 1336118025) is an individual adolescent medicine provider in East Brunswick, New Jersey, licensed in New Jersey (MA047770) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336118025

Entity TypeIndividualMale

Primary Taxonomy2080A0000X

Provider Legal NameLARRY J TIEFENBRUNNCredential: M.D.

Location Address503 CRANBURY RDEast Brunswick, NJ 08816-3612

Mailing Address503 Cranbury RdEast Brunswick, NJ 08816-3612 · (732) 390-8400 · Fax (732) 390-8970

Phone(732) 390-8400

Fax(732) 390-8970

Sole ProprietorNo

Enumeration DateMarch 15, 2006

Last NPPES UpdateMarch 15, 2017

✔ NPI 1336118025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in NJ · MA047770

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

503 CRANBURY RD, East Brunswick, NJ 08816

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Other Identifiers 6

OtherP2676479NJ · Oxford

OtherF06243NJ · Healthnet Id

OtherMA047770NJ · Hip/phcs

Other222694202NJ · Tin

Other202433NJ · United Id

Other0070672NJ · Qualcare/ghi Id Ny

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Larry J Tiefenbrunn M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

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

ADVOCARE , LLC

Pediatrics