Nicholas Paul Penzarella, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3490 Issued in MA

Practice address

96 Holland St
Somerville, MA 02144-2707

Phone

(617) 744-3016

NPI assigned

Feb 12, 2015

Sex

Male

Sole proprietor

No

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

Enrolled in MA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Lifeworks Chiropractic LLC

  • Chiropractor
  • Somerville, MA
  • NPI 1831664903
  Medicare reassignment Authorized official
• Newton Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • West Newton, MA
  • NPI 1982953428
  NPD (past)

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1902297872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 HOLLAND ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442707",
            "telephone_number": "617-744-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 HOLLAND ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442707",
            "telephone_number": "617-744-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENZARELLA",
        "first_name": "NICHOLAS",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-12",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Clarence Payne, M.D., M.P.H.
• Elizabeth Morehouse Pearce, FNP-BC, RN
• Madeline Pennebaker
• Alexis Penney, MS, RD, LDN
• Vanpat Pensuwan, MD
• Ellura Rezza Mae Pepito, D.D.S.
• Carla Perez Martinez
• Orlando Leandro Perez-Bonilla
• Juan G Perez, MD
• Leah Perez, MSW

• Chiropractor in Somerville, MA
• Providers in Somerville, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.