Individual provider Active NPI

Michael John Recupero, D.C.

  • Chiropractor
  • Hanover, MA
National Provider Identifier
1356477103
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHI2353 Issued in MA
Practice address
208 Broadway
Hanover, MA 02339-2382
Phone
(781) 829-6780
Fax
(781) 829-6781
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHI2353 MA Primary

Addresses

Primary practice location

208 Broadway
Hanover, MA 02339-2382

Mailing address

PO Box 192
Hanover, MA 02339-0192
Phone (781) 829-6780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060209000267 MA Practitioner - Chiropractic 1153336375 Reassigns benefits to 1 organization
Practice locations: Hanover, MA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1999
Medicare assignment
May accept Medicare assignment
Group practices
South Shore Integrated Health PCGroup PAC ID 0547507659, 2 clinicians

Practice addresses (Care Compare)

208 Broadway
Hanover, MA 02339-2382
Phone (781) 829-6780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2353MAMDAddiction (Substance Use Disorder) Counselor
CHI2353MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Integrated Health PC Chiropractor CurrentSince Jan 7, 2019 Accepting new patients
MJR, LLC PastSince May 1, 2005 Accepting new patients

Organizations & group practices 2

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1356477103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023390192",
            "telephone_number": "781-829-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 BROADWAY",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023392382",
            "telephone_number": "781-829-6780",
            "fax_number": "781-829-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECUPERO",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "CHI2353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.