DR. DENNIS D MAURICIO MD NPI 1063675056

NPI Information

NPI: 1063675056
Provider Name: DR. DENNIS D MAURICIO, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
20 YORK ST
NEW HAVEN, CT
ZIP 06510
Phone: (203) 688-4242
Get Directions

DR. Dennis D Mauricio, MD is an obstetrics gynecology in New Haven, CT. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Dennis D Mauricio, MD NPI is 1063675056. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

20 YORK ST
NEW HAVEN, CT
ZIP 06510-220
Phone: (203) 688-4242

The NPI 1063675056 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/9/2008 and was last updated on 9/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		MD60339282	WASHINGTON	No
2	207V00000X	Obstetrics & Gynecology		003155	NEW YORK	No
3	207VX0201X	Obstetrics & Gynecology	Gynecologic Oncology	T9742	TEXAS	No
4	390200000X	Student in an Organized Health Care Education/Training Program				No
5	207V00000X	Obstetrics & Gynecology		1.064736	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03019243	MEDICAID	NEW YORK
2	0309298	OTHER	WASHINGTON	L&I
3	G8919189	OTHER	WASHINGTON	MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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