Stephen Joseph Petteruti, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

22249 Issued in FL

Practice address

333 Las Olas Way Ste 214
Fort Lauderdale, FL 33301-2883

Phone

(401) 580-4477

Fax

(833) 818-9095

NPI assigned

Aug 9, 2005

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

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.

• Petteruti Family Practice Inc

  • Family Medicine Physician
  • Warwick, RI
  • NPI 1417132549
  NPD (past) Authorized official

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787443200000",
    "number": "1972504280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 LAS OLAS WAY STE 214",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012883",
            "telephone_number": "954-369-9079",
            "fax_number": "833-818-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 LAS OLAS WAY STE 214",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012883",
            "telephone_number": "401-580-4477",
            "fax_number": "833-818-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTERUTI",
        "first_name": "STEPHEN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2026-08-23",
        "certification_date": "2026-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "22249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerome J Petrisko, DMD
• Danielle Petrucelli, CCC-SLP
• Diana Michelle Petruk, PA-C
• Mariel Petruk, DDS
• Antonio Petruzzella, PHD
• Teresa Petty
• Wendy Susan Petusevsky, RD, LD
• Christopher Pham, D.D.S
• Dinh Quoc Pham, M.D.
• Lissette Pham

• Family Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2026; 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.