Daniel I Tanenbaum MD PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

56412 Issued in MA

Legal business name

DANIEL I TANENBAUM MD PC

Practice address

189 May St
Worcester, MA 01602

Phone

(508) 471-9507

Fax

(508) 865-5226

NPI assigned

Oct 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel I Tanenbaum, MDNPI 1578502662

Title

MD PC Owner

Phone

(508) 471-9507

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel I Tanenbaum, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Worcester, MA
  • NPI 1578502662
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1518156850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 MAY ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01602",
            "telephone_number": "508-471-9507",
            "fax_number": "508-865-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 MAY ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01602",
            "telephone_number": "508-471-9507",
            "fax_number": "508-865-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL I TANENBAUM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "TANENBAUM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MD PC OWNER",
        "authorized_official_telephone_number": "508-471-9507",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "56412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3047067",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Damon Jr., LICENSED OPTICIAN
• Nicole Damon
• Sarah Danforth
• Evan Dang, DO
• Richard A Dang, LIC. AC.
• Daniel Moheban DMD PC
• Edlourde Daniel
• Imola Daniel, MD
• Jessica Ann Daniel, CNP
• Paul E. Daniel, M.D.

• Physical Medicine & Rehabilitation Physician in Worcester, MA
• Providers in Worcester, MA by specialty
• Physical Medicine & Rehabilitation Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.