Peter William Gazzillo, R.D., L.D.N.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

727180 Issued in MA

Practice address

165 Tor CT
Berkshire Medical Center Hillcrest Campus
Pittsfield, MA 01201-3001

Phone

(413) 445-9539

Fax

(413) 445-9326

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1578674172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 PLEASANTVIEW DR",
            "city": "DALTON",
            "state": "MA",
            "postal_code": "012262047",
            "telephone_number": "413-822-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 TOR CT",
            "address_2": "BERKSHIRE MEDICAL CENTER HILLCREST CAMPUS",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012013001",
            "telephone_number": "413-445-9539",
            "fax_number": "413-445-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZZILLO",
        "first_name": "PETER",
        "middle_name": "WILLIAM",
        "credential": "R.D., L.D.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MA",
            "license": "5",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "727180",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "MA",
            "license": "727180",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra S Gattasso, APRN, BC
• Austin Gaudette
• Gabrielle Gauthier
• Rachelle Root Gayle, PT, DPT, CERT. DN
• Kimberly Gaylord
• Ibrahim Gdyana, MD
• Wade Joseph Gebara, M.D.
• Carrie Geibel
• Cameron Henry Geller, CRNA
• Liza Roviaro Gennari

• Registered Dietitian in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.