Paul Pezzino, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

051098 Issued in CT

Practice address

330 Main St FL 2
Hartford, CT 06106-1851

Phone

(203) 518-4888

Fax

(203) 518-4889

NPI assigned

Dec 9, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ppezzino@1234.securemail.prognocis.com

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.

• Primary Physical Medicine LLC

  • Family Nurse Practitioner
  • Enfield, CT
  • NPI 1487190013
  Medicare reassignment NPD
• Paul Pezzino, MD DC of CT Corp

  • Physical Medicine & Rehabilitation Physician
  • Hartford, CT
  • NPI 1467704098
  NPD Authorized official
• Paul Pezzino, MD of Ny P.C.

  • Physical Medicine & Rehabilitation Physician
  • Howard Beach, NY
  • NPI 1114279742
  NPD Authorized official
• Rockwood Park Chiropractic, P.C.

  • Chiropractor
  • Howard Beach, NY
  • NPI 1467539478
  NPD (past)

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1962647743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MAIN ST FL 2",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061851",
            "telephone_number": "203-518-4888",
            "fax_number": "203-518-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MAIN ST FL 2",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061851",
            "telephone_number": "203-518-4888",
            "fax_number": "203-518-4889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "378 Chase Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067041948",
            "country_code": "US",
            "telephone_number": "203-518-4888",
            "fax_number": "203-518-4889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEZZINO",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-09",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "261336",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": "051098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia C Petta
• John Robert Pettini, D.O.
• Elena Pevar, RD
• Nadine Peynado
• Bari Allison Peyser
• William Sage Pfaffmann, DMD
• John Riley Pflomm, MD
• Christopher Phelan, M.D.
• Phetsamon Dilullo
• Kristin Philipp, APRN

• Physical Medicine & Rehabilitation Physician in Hartford, CT
• Providers in Hartford, CT by specialty
• Physical Medicine & Rehabilitation Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.