DR. JORDAN M TANNENBAUM M.D.
NPI 1922000116
Pediatrics in Oneonta, NY

Q: What is Jordan Tannenbaum's NPI number?

The NPI number for Jordan Tannenbaum is 1922000116. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Q: What is Jordan Tannenbaum's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Tannenbaum was last updated on June 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 June 01, 2005

1 FOX CARE DR, STE 213, ONEONTA, NY 13820(607) 432-5600(607) 431-5275 Get Directions Write a Review

NPPES record last updated: June 29, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jordan M Tannenbaum M.d. NPPES

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

DR. JORDAN M TANNENBAUM M.D. (NPI 1922000116) is an individual pediatrics provider in Oneonta, New York, licensed in New York (149788) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1922000116

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. JORDAN M TANNENBAUMCredential: M.D.

Location Address1 FOX CARE DR, STE 213Oneonta, NY 13820-2086

Mailing Address1 Fox Care Dr, Ste 213Oneonta, NY 13820-2086 · (607) 432-5600 · Fax (607) 431-5275

Phone(607) 432-5600

Fax(607) 431-5275

Sole ProprietorNo

Enumeration DateJune 1, 2005

Last NPPES UpdateJune 29, 2010

✔ NPI 1922000116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 149788

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1 FOX CARE DR, Oneonta, NY 13820

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Other Identifiers 3

Other002892901NY · Blue Cross Blue Shield

Medicare UPING66688NY

Medicaid00279098NY

Other Providers at the Same Location NPPES 19

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

DR. TODD BITTERMAN MD

Internal Medicine

1 FOX CARE DR, SUITE 310
ONEONTA, NY 13820

Otsego County (607) 431-5290

OTSEGO MAGNETIC RESONANCE IMAGING CENTER

Specialist

1 FOX CARE DR, SUITE 104
ONEONTA, NY 13820

Otsego County (607) 432-8272

HENRY KEYS MD, PLLC

Radiology (Radiation Oncology)

1 FOX CARE DR, SUITE 310
ONEONTA, NY 13820

Otsego County (607) 431-5475

DR. DAVID EVELYN MD

Family Medicine

1 FOX CARE DR, SUITE 308
ONEONTA, NY 13820

Otsego County (607) 432-1163

DR. TODD CHURCHILL DO

Internal Medicine

1 FOX CARE DR, SUITE 310
ONEONTA, NY 13820

Otsego County (607) 432-6291

MARGARET W. KARL RPH

Pharmacist

1 FOX CARE DR, SUITE 215
ONEONTA, NY 13820

Otsego County (607) 431-5959

BRYAN S EVANCZYK MD INC PC

Obstetrics & Gynecology

1 FOX CARE DR, STE 303
ONEONTA, NY 13820

Otsego County (607) 432-3711

ERNEST R LEVY MD

Neurological Surgery

1 FOX CARE DR, STE 104 FOX CARE CENTER
ONEONTA, NY 13820

Otsego County (607) 432-7178

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 Jordan Tannenbaum's NPI number?

The NPI number for Jordan Tannenbaum is 1922000116. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Jordan Tannenbaum located?

Jordan Tannenbaum practices at 1 Fox Care Dr Ste 213, Oneonta, NY 13820. The listed phone number is (607) 432-5600.

What is Jordan Tannenbaum's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Jordan Tannenbaum was last updated on June 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.