John L. Abruzzo, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

MD009252E Issued in PA

Practice address

146 Montgomery Ave
Bala Cynwyd, PA 19004-2956

Phone

(610) 664-0134

Fax

(610) 664-0827

NPI assigned

Jul 25, 2006

Last updated

Aug 22, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jefferson University Physicians

  dba Jefferson GI

  • Gastroenterology Physician
  • Phila, PA
  • NPI 1205898723
  NPD (past)
• Jefferson University Physicians

  • General Practice Physician
  • Philadelphia, PA
  • NPI 1326093675

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1396768040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 CHESTNUT ST",
            "address_2": "14TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 MONTGOMERY AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042956",
            "telephone_number": "610-664-0134",
            "fax_number": "610-664-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRUZZO",
        "first_name": "JOHN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD009252E",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD009252E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00674544",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 5 Star Home Care LLC
• A Home for Renewal Inc.
• A New Spirit Behavioral Health Services, LLC
• ABA Centers of Pennsylvania LLC (ABA Centers of Pennsylvania)
• Pamela Pressley Abraham, PSY.D.
• Yara Abu Hussein, MA
• Abundant Life Family Services
• Zobaku Acholonu, PA-C
• Acme Markets Inc (Acme Pharmacy #3711)
• Julie Adams, RD

• Rheumatology Physician in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Rheumatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.