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

Dr. Robert Wallace Tenney

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104323955

Dr. Robert Wallace Tenney is an Interventional Radiology in Flushing, New York. Graduated from Drexel University College of Medicine in 2018, 8 years ago. Practices with New York University, a 5,884-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
8
Trained at
Drexel University College of Medicine
Licensed in
NY
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

5645 Main St
Flushing, NY 11355-5045
Phone: (718) 670-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 330788 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104323955
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 9, 2018
Last updated in NPPESOctober 25, 2024
Certification dateOctober 25, 2024
Mailing address2319 Perot St, Philadelphia, PA 19130-2525

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL RADIOLOGY
Medical schoolDREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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