Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Gary Tannenbaum, MD

Individual provider Surgery Physician · NPI 1811949670

Dr. Gary Tannenbaum, MD is a Vascular Surgery in Bronxville, New York. Graduated from Columbia University College of Physicians and Surgeons in 1983, 43 years ago. Practices with Sjr Medical, PC, a 42-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
43
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Pondfield Rd Ste 202
Bronxville, NY 10708-3706
Phone: (914) 965-2606
Fax: (914) 965-2880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 160375 (NY)
Surgery Physician Taxonomy 208600000X · Licence 160375 (NY)

Record details

NPI number1811949670
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024
Mailing address1 Pondfield Rd Ste 202, Bronxville, NY 10708-3706

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Also practisesGENERAL SURGERY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 1983 (43 years in practice)
Group practice Sjr Medical, Pc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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