Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Jordan M Tannenbaum, M.D.
Pediatrics Physician in Oneonta, NY · enumerated 2005.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1922000116
See something wrong? Report a correction
Registry record
Entity type Individual (Type 1)
Name Dr. Jordan M Tannenbaum
Credential M.D.
Sex Male
Practice address 1 Fox Care Dr, Ste 213, Oneonta, NY, 13820
Phone (607) 432-5600
Fax (607) 431-5275
Enumeration date Jun 1, 2005
Last updated in NPPES Jun 29, 2010
Taxonomy & licenses
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure.
About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00279098 | Medicaid | NY | - |
| 002892901 | Other | NY | BLUE CROSS BLUE SHIELD |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Jordan Tannenbaum?
Jordan Tannenbaum is registered in NPPES with the primary taxonomy of Pediatrics Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Other providers at this practice address
Browse all → Henry Keys Radiation Oncology Physician · Oneonta, NY NPI 1962403816 David Evelyn Family Medicine Physician · Oneonta, NY NPI 1174524672 Benjamin Friedell Family Medicine Physician · Oneonta, NY NPI 1912908203 Todd Bitterman Internal Medicine Physician · Oneonta, NY NPI 1033110218 Todd Churchill Internal Medicine Physician · Oneonta, NY NPI 1245231471 Christopher Wolfgould Family Medicine Physician · Oneonta, NY NPI 1609877885 Blaine Jones Family Medicine Physician · Oneonta, NY NPI 1841291085 Henry Keys MD, Pllc Radiation Oncology Physician · Oneonta, NY NPI 1063404226
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-06-29.