Joseph Fedrizzi Jr.

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN276548 Issued in PA

Practice address

4653 Evergreen Rd
West Middlesex, PA 16159-4407

Phone

(724) 301-3356

NPI assigned

Feb 4, 2016

Last updated

Feb 4, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1699133769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4653 EVERGREEN RD",
            "city": "WEST MIDDLESEX",
            "state": "PA",
            "postal_code": "161594407",
            "telephone_number": "724-301-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4653 EVERGREEN RD",
            "city": "WEST MIDDLESEX",
            "state": "PA",
            "postal_code": "161594407",
            "telephone_number": "724-301-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDRIZZI",
        "first_name": "JOSEPH",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN276548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Renee Bronson, CRNP
• Kamira Michelle Brown
• Maria T Deaugustino, LPC
• Ewc Management Services (Endura Wellness Collaborative)
• Jade George, M.S. CCC-SLP
• Aaron Listopad
• Hopeanne Lovrinoff-Moran, LMT
• Deborah Jean Marcucci, LCSW
• Michael Richard Shelestak, DMD

• Licensed Practical Nurse in West Middlesex, PA
• Providers in West Middlesex, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.