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

Mr. Michael David Tenenbaum, NP

Individual provider Adult Health Nurse Practitioner · NPI 1477802205

Mr. Michael David Tenenbaum, NP is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2012, 14 years ago. Practices with Bostons Community Medical Group Inc, a 30-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
14
Licensed in
MA
In the registry since
2012
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

30 Northampton St
Boston, MA 02118-4010
Phone: (617) 433-9601
Fax: (617) 445-6538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence RN2270217 (MA)

Record details

NPI number1477802205
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 7, 2012
Last updated in NPPESOctober 22, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Bostons Community Medical Group Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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