John Christian Marcucci, BOCOP, CPO

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Practice address

4007 Main St
Bridgeport, CT 06606-2707

Phone

(203) 372-7112

NPI assigned

Jan 18, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• JKM Enterprises LLC

  • Prosthetic/Orthotic Supplier
  • Bridgeport, CT
  • NPI 1396926333
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1235281122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066062707",
            "telephone_number": "203-372-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066062707",
            "telephone_number": "203-372-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUCCI",
        "first_name": "JOHN",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Mr.",
        "credential": "BOCOP, CPO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farishta Manzoor, PHARM.D.
• Daniel J Marchetti, PA-C
• Patricia Marciano, CNM
• Danielle Ann Marconi
• Corina Marcu, MD
• Stuart Marcus, M.D.
• Scott N Margraf, M.D
• Debora Mariano, PA
• Stevan Marjanovic, M.D.
• Daniela Markelon

• Prosthetics Case Management in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Prosthetics Case Management in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.