Felicito L. Faller, M.D. Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

32598 Issued in MA

Legal business name

FELICITO L. FALLER, M.D. INC

Doing business as

Felicito L. Faller, M.D. Inc

Practice address

218 Upham St
Melrose, MA 02176-3549

Phone

(617) 755-0621

NPI assigned

Feb 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Felicito L Faller, MD

Title

Owner Proprietor

Phone

(781) 321-3470

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Felicito L. Faller, M.D. Inc Doing business as

Locations

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1265600779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WALNUT ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021487028",
            "telephone_number": "781-321-3470",
            "fax_number": "781-322-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 UPHAM ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763549",
            "telephone_number": "617-755-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELICITO L. FALLER, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "FALLER",
        "authorized_official_first_name": "FELICITO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER PROPRIETOR",
        "authorized_official_telephone_number": "781-321-3470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "32598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9738738",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Felicito L. Faller, M.D. Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Felicito L. Faller, M.D. Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Melrose, MA
• Providers in Melrose, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.