Active NPI
Paul A Bocciarelli, D.M.D.
- Oral and Maxillofacial Pathology Dentistry
- Rocky Hill, CT
National Provider Identifier
1750301982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- 6825
- Practice address
- 506 Cromwell Ave.
Suite 203
Rocky Hill, CT 06067 - Phone
- (860) 529-8582
- Fax
- (860) 563-1792
- NPI assigned
- Jul 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 6825 | CT | Primary |
Addresses
Primary practice location
506 Cromwell Ave.
Suite 203
Rocky Hill, CT 06067
Mailing address
506 Cromwell Ave
Suite 203
Rocky Hill, CT 06067-1851
Phone (860) 529-8582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120426000524 | CT | Practitioner - Oral Surgery | 6204098890 | Practice locations: Rocky Hill, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
506 Cromwell Ave
Suite 203
Rocky Hill, CT 06067-1851
Phone (860) 529-8582
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6825 | CT | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750301982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 CROMWELL AVE",
"address_2": "SUITE 203",
"city": "ROCKY HILL",
"state": "CT",
"postal_code": "060671851",
"telephone_number": "860-529-8582",
"fax_number": "860-563-1792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 CROMWELL AVE.",
"address_2": "SUITE 203",
"city": "ROCKY HILL",
"state": "CT",
"postal_code": "06067",
"telephone_number": "860-529-8582",
"fax_number": "860-563-1792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOCCIARELLI",
"first_name": "PAUL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "CT",
"license": "6825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocky Hill, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.