John Petruzzelli, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2405 Issued in MA

Practice address

491 Broadway
Somerville, MA 02145-2607

Phone

(617) 627-9099

Fax

(617) 627-9044

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr.John'S Chiropractic Center

  • Chiropractor
  • Somerville, MA
  • NPI 1225270960
  NPD (past) Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376668491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16A GERRY ST",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021802605",
            "telephone_number": "781-799-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 BROADWAY",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021452607",
            "telephone_number": "617-627-9099",
            "fax_number": "617-627-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRUZZELLI",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Peters
• Dawn Marie Peters, MD
• Ryan Peterson
• Merlinda Petit
• Catherine Elizabeth Petrowski, PH.D.
• Aleksandra Pezel, LMHC
• Elise Pflaumer
• Patthrarawalai Phichalai, M.D., M.P.H.
• Carmen Phillips
• Michael Phillips Jr.

• Chiropractor in Somerville, MA
• Providers in Somerville, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.