IndividualActive
Mark Tanenbaum, D.P.M.
NPI 1689656399 · Podiatrist · Brooklyn, NY
Provider details
- NPI number
- 1689656399
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- Yes
- License
- N003136 (NY)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1648 E 14th St
Brooklyn, NY 11229-1175
Phone: (718) 627-0585
Fax: (718) 228-4930
Street-level locationGet directions
Mailing address
415 E 52nd St
New York, NY 10022-9033
Registry dates
- Enumerated
- 2005-11-17
- Last updated
- 2016-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.