Active NPI
Joseph L Perrotto Jr., MD
- Internal Medicine Physician
- Norwood, MA
National Provider Identifier
1639280555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 32767
- Practice address
- 886 Washington St
Norwood, MA 02062-3466 - Phone
- (781) 769-4682
- Fax
- (781) 769-9272
- NPI assigned
- Aug 31, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 32767 | MA | Primary |
| Gastroenterology Physician | 207RG0100X | 32767 | MA |
Addresses
Primary practice location
886 Washington St
Norwood, MA 02062-3466
Mailing address
886 Washington St
Norwood, MA 02062-3466
Phone (781) 769-4682
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032767 | Other | MA | TUFTS HEALTH PLAN |
| 110033689A | Medicaid | MA | |
| 100003534 | Other | MA | RAIL RAOD MEDICARE |
| 30080 | Other | MA | HARVARD PILGRIM HEALTH |
| M07823 | Other | MA | BC/BS OF MASS |
| 30080 | Other | MA | HAVARD PILGRIM HEALTH CARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326153600000",
"number": "1639280555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "886 WASHINGTON ST",
"city": "NORWOOD",
"state": "MA",
"postal_code": "020623466",
"telephone_number": "781-769-4682",
"fax_number": "781-769-9272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "886 WASHINGTON ST",
"city": "NORWOOD",
"state": "MA",
"postal_code": "020623466",
"telephone_number": "781-769-4682",
"fax_number": "781-769-9272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERROTTO",
"first_name": "JOSEPH",
"middle_name": "L",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2012-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "32767",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MA",
"license": "32767",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "032767",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110033689A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL RAOD MEDICARE",
"identifier": "100003534",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH",
"identifier": "30080",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MASS",
"identifier": "M07823",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAVARD PILGRIM HEALTH CARE",
"identifier": "30080",
"state": "MA"
}
],
"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 Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.