John J Pasciucco Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12750 Issued in MA

Practice address

1261 Furnace Brook Pkwy
Suite 28
Quincy, MA 02169-4721

Phone

(617) 471-8355

Fax

(617) 786-8296

NPI assigned

Jun 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104867647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 FURNACE BROOK PKWY",
            "address_2": "SUITE 28",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694721",
            "telephone_number": "617-471-8355",
            "fax_number": "617-786-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 FURNACE BROOK PKWY",
            "address_2": "SUITE 28",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694721",
            "telephone_number": "617-471-8355",
            "fax_number": "617-786-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCIUCCO",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "12750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah J Parrish, M.ED.
• Thomas Parrish, DO
• Deborah Jean Parsons
• Victoria Parsons
• Parvizsadooghi DMD PC
• Kishan Patel
• Mahima Patel
• Monica Patel, DMD
• Neha Vinod Patel, DDS
• Radhika Anil Patel

• General Practice Dentistry in Quincy, MA
• Providers in Quincy, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.