DR. DANIEL MARANCENBAUM MD NPI 1790937068

NPI Information

  • NPI: 1790937068
  • Provider Name: DR. DANIEL MARANCENBAUM, MD
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3917 WEST RD STE 250
    LOS ALAMOS, NM
    ZIP 87544
  • Phone: (505) 661-9201

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NPI Details

DR. Daniel Marancenbaum, MD is an obstetrics gynecology in Los Alamos, NM with 25 years of experience. 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. Daniel Marancenbaum, MD NPI is 1790937068. 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:

3917 WEST RD STE 250
LOS ALAMOS, NM
ZIP 87544-302
Phone: (505) 661-9201
Fax: (505) 661-9185

The NPI 1790937068 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 10/18/2008 and was last updated on 10/6/2022.

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
1207V00000XObstetrics & GynecologyME152170FLORIDANo
2207V00000XObstetrics & Gynecology042.0012038VERMONTNo
3207V00000XObstetrics & GynecologyMT189844PENNSYLVANIANo
4207V00000XObstetrics & GynecologyMD2013-0460NEW MEXICOYes

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
180983294MEDICAIDNEW MEXICO

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: 3/30/2025

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