Active NPI
John E Fattore, M.D.
- Plastic and Reconstructive Surgery Physician
- Norwood, MA
National Provider Identifier
1396783601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 74404
- Practice address
- 825 Washington St, Ste 390
Guild Medical Building
Norwood, MA 02062 - Phone
- (781) 769-4077
- NPI assigned
- Jun 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 74404 | MA | Primary |
Addresses
Primary practice location
825 Washington St, Ste 390
Guild Medical Building
Norwood, MA 02062
Mailing address
825 Washington St, Ste 390
Guild Medical Building
Norwood, MA 02062
Phone (781) 769-4077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74404 | MA | MD | Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1396783601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 WASHINGTON ST, STE 390",
"address_2": "GUILD MEDICAL BUILDING",
"city": "NORWOOD",
"state": "MA",
"postal_code": "02062",
"telephone_number": "781-769-4077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 WASHINGTON ST, STE 390",
"address_2": "GUILD MEDICAL BUILDING",
"city": "NORWOOD",
"state": "MA",
"postal_code": "02062",
"telephone_number": "781-769-4077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FATTORE",
"first_name": "JOHN",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "MA",
"license": "74404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwood, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.