Active NPI
Sean Kevin Piechocki, PA-C
- Physician Assistant
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA3777
- Practice address
- 55 Fruit St
Boston, MA 02114-2621 - Phone
- (401) 741-1884
- NPI assigned
- Apr 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | AT00163 | RI | |
| Physician Assistant | 363A00000X | PA00486 | RI | |
| Surgical Physician Assistant | 363AS0400X | 013021 | NY | |
| Physician Assistant | 363A00000X | PA3777 | MA | Primary |
Addresses
Primary practice location
55 Fruit St
Boston, MA 02114-2621
Mailing address
PO Box 415348
Boston, MA 02241-5348
Other practice location 1
164 Summit Ave
Providence, RI 02906
Phone (401) 793-3598
Other practice location 2
2 Dudley St Ste 470
Providence, RI 02905-3248
Phone (401) 553-8320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT00163 | RI | MD | Specialist |
| 013021 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nantucket Cottage Hospital | Current | Accepting new patients | |
| Orthopedics Rhode Island, Inc | Current | Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Orthopedics Rhode Island, Inc | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Nantucket Physicians Organization | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Physician Assistant | Current | Accepting new patients |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients | |
| Rhode Island Hospital | Current | Accepting new patients | |
| Nantucket Cottage Hospital | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Past | Accepting new patients |
Locations
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
55 Fruit St
Boston, MA 02114
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
345 Blackstone Blvd
Providence, RI 02906
Phone (401) 455-6375
2 Dudley St
Ste 470
Providence, RI 02905
Phone (401) 274-7546
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
300 Crossings Blvd
Warwick, RI 02886
Phone (716) 208-1708
120 Centerville Rd
Warwick, RI 02886
Phone (401) 562-1017
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
Interoperability endpoints
- piechocki.sean.mgh@direct.partners.masshiway.net
- sean.piechocki@usasurg.eclinicaldirectplus.com
Organizations & group practices 18
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.
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
-
- Rural Acute Care Hospital
- Nantucket, MA
- NPI 1447214622
-
- Orthopaedic Surgery Physician
- Nantucket, MA
- NPI 1568798510
-
- Family Medicine Physician
- Fairhaven, MA
- NPI 1336137629
-
dba Brown Health Medical Group
- General Practice Physician
- Providence, RI
- NPI 1407116643
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
-
- Orthopaedic Surgery Physician
- Warwick, RI
- NPI 1407231293
-
dba Brown Surgical Associates
- Surgery Physician
- Providence, RI
- NPI 1376589895
-
dba Massachusetts General Hospital Outpatient Pharmacy
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
-
dba Nantucket Cottage Medical Group
- Rural Health Clinic/Center
- Nantucket, MA
- NPI 1477021608
-
- Orthopaedic Surgery Physician
- North Dartmouth, MA
- NPI 1902201536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744934400000",
"number": "1316902489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415348",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "401-741-1884"
}
],
"practiceLocations": [
{
"address_1": "164 Summit Ave",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "02906",
"country_code": "US",
"telephone_number": "401-793-3598",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Dudley St Ste 470",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029053248",
"country_code": "US",
"telephone_number": "401-553-8320",
"fax_number": "401-868-2322",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIECHOCKI",
"first_name": "SEAN",
"middle_name": "KEVIN",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2025-04-18",
"certification_date": "2025-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "RI",
"license": "AT00163",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "RI",
"license": "PA00486",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "013021",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA3777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.