Joseph James Pietrafitta, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

33405 Issued in MN

Practice address

9325 Upland LN N
Suite 205
Maple Grove, MN 55369-4470

Phone

(763) 416-0676

Fax

(763) 416-0476

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1265460117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9325 UPLAND LN N",
            "address_2": "SUITE 205",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694470",
            "telephone_number": "763-416-0676",
            "fax_number": "763-416-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 UPLAND LN N",
            "address_2": "SUITE 205",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694470",
            "telephone_number": "763-416-0676",
            "fax_number": "763-416-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETRAFITTA",
        "first_name": "JOSEPH",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "33405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "551202600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gregory C Pippert, MD

• Specialist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.