Domenic M Strazzulla MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

DOMENIC M STRAZZULLA MD PC

Practice address

500 Congress St
Suite 1a-1
Quincy, MA 02169-0908

Phone

(617) 770-1505

NPI assigned

Jul 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Domenic M Strazzulla, MDNPI 1609859990

Title

President/Owner

Phone

(617) 770-1505

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

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

• Domenic M Strazzulla, M.D.

  • Ophthalmology Physician
  • Quincy, MA
  • NPI 1609859990
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1306046958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CONGRESS ST",
            "address_2": "SUITE 1A-1",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690908",
            "telephone_number": "617-770-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CONGRESS ST",
            "address_2": "SUITE 1A-1",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690908",
            "telephone_number": "617-770-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMENIC M STRAZZULLA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "STRAZZULLA",
        "authorized_official_first_name": "DOMENIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "617-770-1505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6191266",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "734976",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "050129",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah J. Doherty, M.ED
• Robert Edward Doherty, D.D.S.
• Carolyn J Dolan, NP
• Hannah Christine Dolezal
• Kendra Dolor
• Hayley Doneghey
• Han W. Dong, O.D.
• Anne M Donovan, LADCI/CADAC
• Kristina Ann Donovan, RN, FNP
• John Doole, PHARM D

• Ophthalmology Physician in Quincy, MA
• Providers in Quincy, MA by specialty
• Ophthalmology Physician in Massachusetts

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