Active NPI
Joseph Pezzulo, ACNP-BC
- Acute Care Nurse Practitioner
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- RN2258970
- Practice address
- 881 Commonwealth Avenue, West
Boston, MA 02215 - Phone
- (617) 353-3573
- NPI assigned
- May 28, 2009
- Last updated
- Sep 11, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | RN2258970 | MA | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | ARNP9220338 | FL |
Addresses
Primary practice location
881 Commonwealth Avenue, West
Boston, MA 02215
Mailing address
780 Boylston St
17E
Boston, MA 02199-7820
Phone (305) 801-1045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2201 45TH St
West Palm Beach, FL 33407-2047
Phone (561) 842-6141
322 SW Pine Island Rd
Fawcett Memorial
Cape Coral, FL 33991-2057
Phone (941) 249-6858
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2258970 | MA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FL-I Medical Services LLC | Current | Accepting new patients | |
| Emergency Medicine Services of FL, LLC | Current | Accepting new patients | |
| Duval Emergency Group LLC | Current | Accepting new patients | |
| FL-I Medical Services, LLC | Current | Accepting new patients | |
| East Florida Emergency Physician Group LLC | Past | Accepting new patients | |
| Emergency Physician Solutions of South Florida, LLC | Past | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131
160 NW 170th St
North Miami Beach, FL 33169
Phone (305) 585-8957
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929
1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969
2201 45th St
West Palm Beach, FL 33407
Phone (561) 842-6141
13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300
Interoperability endpoints
- jpezzulo@bcp-fl.direct.office.nextgen.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medicine Physician
- North Miami Beach, FL
- NPI 1053645465
-
- Nurse Practitioner
- Fort Pierce, FL
- NPI 1750655106
-
- Nurse Practitioner
- Miami Beach, FL
- NPI 1730558537
-
- Emergency Medicine Physician
- Plantation, FL
- NPI 1013361971
-
dba Palms West Hospital Emergency Physicians
- Emergency Medicine Physician
- Loxahatchee, FL
- NPI 1134436553
-
- Emergency Medicine Physician
- Miami, FL
- NPI 1134541618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284163200000",
"number": "1376778803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 BOYLSTON ST",
"address_2": "17E",
"city": "BOSTON",
"state": "MA",
"postal_code": "021997820",
"telephone_number": "305-801-1045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "881 COMMONWEALTH AVENUE, WEST",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-353-3573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEZZULO",
"first_name": "JOSEPH",
"credential": "ACNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-28",
"last_updated": "2010-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MA",
"license": "RN2258970",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "ARNP9220338",
"primary": false
}
],
"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 Sep 11, 2010; 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.
- 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.