Benjamin J. Paolucci, D.O., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

5101005386 Issued in MI

Legal business name

BENJAMIN J. PAOLUCCI, D.O., P.C.

Practice address

27483 Dequindre Rd
Suite 301
Madison Heights, MI 48071-3491

Phone

(248) 543-4000

Fax

(248) 534-3214

NPI assigned

May 18, 2007

Organization subpart

No

Name

Dr. Benjamin J Paolucci, D.O.

Title

President

Phone

(248) 543-4000

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902014699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27483 DEQUINDRE RD",
            "address_2": "SUITE 301",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713491",
            "telephone_number": "248-543-4000",
            "fax_number": "248-534-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27483 DEQUINDRE RD",
            "address_2": "SUITE 301",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713491",
            "telephone_number": "248-543-4000",
            "fax_number": "248-534-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN J. PAOLUCCI, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAOLUCCI",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-543-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "5101005386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Becker
• Behavioral Care Management
• Susan L Belaney, LMSW
• Alan M Belkin, D.O.
• Belle Isle Pharmacy LLC
• Moses P. Benny, P.T.
• Airazonna Marshay Benton
• Refaela Beqi, PHARMD
• Gary L Berg, D.O.
• Jessica L Bergeron, MA, BCBA, LBA

• All providers in Madison Heights, MI
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.