Individual provider Active NPI

John J Brozetti, MD

  • Ophthalmology Physician
  • Johnstown, PA
National Provider Identifier
1346280674
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD044779E Issued in PA
Practice address
120 Main St
Johnstown, PA 15901-1507
Phone
(814) 536-5343
Fax
(814) 536-1525
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD044779E PA Primary

Addresses

Primary practice location

120 Main St
Johnstown, PA 15901-1507

Mailing address

2661 Riva Rd Ste 1030
Annapolis, MD 21401-7131
Phone (410) 571-8733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111007000074 PA Practitioner - Ophthalmology 0941265649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.08 of 100Reported as group
Quality
85.29
Promoting interoperability
100
Improvement activities
40
Cost
64.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD044779EPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Innovation Centers of Pennsylvania LLC CurrentSince Aug 30, 2021 Accepting new patients
Vision Innovation Centers of Pennsylvania LLC Ophthalmology Current Accepting new patients
Vision Innovation Centers of PA LLC Ophthalmology CurrentSince Aug 30, 2021 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

2661 Riva Rd
Ste 1030
Annapolis, MD 21401

120 Main St
Johnstown, PA 15901
Phone (814) 536-5343

703 Rutter Ave
Kingston, PA 18704
Phone (570) 288-7405

170 Boston Ave
West Pittston, PA 18643
Phone (570) 602-1010

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1346280674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 RIVA RD STE 1030",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017131",
            "telephone_number": "410-571-8733",
            "fax_number": "410-571-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MAIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011507",
            "telephone_number": "814-536-5343",
            "fax_number": "814-536-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROZETTI",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD044779E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.