Individual provider Active NPI

Peter Petrucci Armata

  • Nurse Practitioner
  • Allston, MA
National Provider Identifier
1760023592
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2293198 Issued in MA
Practice address
100 N Beacon St
Allston, MA 02134-1928
Phone
(617) 726-9700
NPI assigned
Oct 2, 2019
Last updated
Oct 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2293198 MA Primary

Addresses

Primary practice location

100 N Beacon St
Allston, MA 02134-1928

Mailing address

100 N Beacon St
Allston, MA 02134-1928
Phone (617) 726-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191212000772 MA Practitioner - Nurse Practitioner 7416380068 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2293198MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts General Physicians Organization Inc CurrentSince Nov 13, 2019 Accepting new patients
The General Hospital Corporation CurrentSince Nov 13, 2019 Accepting new patients
The Spaulding Rehabilitation Hospital Corporation Current Accepting new patients

Locations

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

100 North Beacon St
Boston, MA 02134
Phone (617) 726-9700

Interoperability endpoints

  • Direct secure messaging: armata.peter.srb@direct.partners.masshiway.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1760023592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BEACON ST",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021341928",
            "telephone_number": "617-726-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BEACON ST",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021341928",
            "telephone_number": "617-726-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMATA",
        "first_name": "PETER",
        "middle_name": "PETRUCCI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2293198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allston, MA

Sources for this page

Verify at the official NPI Registry.