Individual provider Active NPI

Joseph L Perrotto Jr., MD

  • Internal Medicine Physician
  • Norwood, MA
National Provider Identifier
1639280555
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
32767 Issued in MA
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

Updated by the provider on Jan 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
032767OtherMATUFTS HEALTH PLAN
110033689AMedicaidMA
100003534OtherMARAIL RAOD MEDICARE
30080OtherMAHARVARD PILGRIM HEALTH
M07823OtherMABC/BS OF MASS
30080OtherMAHAVARD 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.

Verify at the official NPI Registry.