Active NPI
James M Cerullo, PA-C
- Physician Assistant
- North Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00645
- Practice address
- 200 High Service Ave
North Providence, RI 02904-5113 - Phone
- (401) 456-3000
- NPI assigned
- Apr 6, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA00645 | RI | Primary |
| Physician Assistant | 363A00000X | PA4793 | MA |
Addresses
Primary practice location
200 High Service Ave
North Providence, RI 02904-5113
Mailing address
125 Whipple Street
3Rd Floor
Providence, RI 02908-3258
Phone (401) 854-2504
Other practice location 1
75 Francis St
Boston, MA 02115-6106
Phone (617) 732-5500
Other practice location 2
123 Summer St
Worcester, MA 01608-1216
Phone (508) 363-5000
Other practice location 3
55 Lake Ave N
Worcester, MA 01655-0002
Phone (774) 443-7552
Other practice location 4
119 Belmont St
Worcester, MA 01605-2903
Phone (774) 443-7552
Other practice location 5
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jcerullo338459@UmassMemorial.direct-ci.com | ||
| FHIR URL | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 792-4136
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023636 | NY | MD | Physical Therapist |
| PA4793 | MA | MD | Physician Assistant |
| PA00645 | RI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect Chartercare Sjhsri, LLC | Current | Accepting new patients | |
| Prospect Chartercare Sjhsri, LLC | Current | Accepting new patients | |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current | Accepting new patients | |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients |
Locations
199 Reedsdale Rd
Milton, MA 02186
Phone (617) 313-1000
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
123 Summer St
Worcester, MA 01608
Phone (508) 363-6000
2 Wake Robin Rd
Lincoln, RI 02865
Phone (401) 333-1747
200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000
115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701
Interoperability endpoints
- jcerullo15645@direct.southcoast.org
- jcerullo338459@umassmemorial.direct-ci.com
Organizations & group practices 12
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.
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1932175684
-
- Internal Medicine Physician
- North Providence, RI
- NPI 1588089759
-
- Emergency Medicine Physician
- Woonsocket, RI
- NPI 1912342528
-
- Emergency Medicine Physician
- North Providence, RI
- NPI 1639537335
-
- Emergency Medical Services (Emergency Medicine) Physician
- Boston, MA
- NPI 1952358533
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- Emergency Medicine Physician
- Worcester, MA
- NPI 1730885252
-
- Family Medicine Physician
- Medford, MA
- NPI 1770563900
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
-
- General Acute Care Hospital
- North Providence, RI
- NPI 1871918870
-
- Multi-Specialty Clinic/Center
- Boston, MA
- NPI 1861216038
-
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Weymouth, MA
- NPI 1134227606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1982960696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 WHIPPLE STREET",
"address_2": "3RD FLOOR",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029083258",
"telephone_number": "401-854-2504",
"fax_number": "401-427-7795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HIGH SERVICE AVE",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "029045113",
"telephone_number": "401-456-3000"
}
],
"practiceLocations": [
{
"address_1": "75 Francis St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021156106",
"country_code": "US",
"telephone_number": "617-732-5500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "123 Summer St",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016081216",
"country_code": "US",
"telephone_number": "508-363-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Lake Ave N",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016550002",
"country_code": "US",
"telephone_number": "774-443-7552",
"fax_number": "774-441-6086",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "119 Belmont St",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016052903",
"country_code": "US",
"telephone_number": "774-443-7552",
"fax_number": "774-441-6086",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "455 Toll Gate Rd",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028862759",
"country_code": "US",
"telephone_number": "401-737-7010",
"fax_number": "401-736-4546",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CERULLO",
"first_name": "JAMES",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-06",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "RI",
"license": "PA00645",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA4793",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jcerullo338459@UmassMemorial.direct-ci.com",
"affiliation": "N",
"address_1": "55 Lake Ave N",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016550002",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "55 Lake Ave N",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016550002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in North Providence, RI
- Cat Scanning of North Providence
- Cat Scanning of North Providence
- Milva Catallozzi, MS.,PT
- Barbara Mancini Cavicchio, D.D.S.
- Daniel R. Cerio, MSW
- Chartercare Health Partners
- Chartercare Our Lady of Fatima Hospital
- Chartercare Our Lady of Fatima Hospital
- Chartercare Our Lady of Fatima Hospital
- Chartercare Our Lady of Fatima Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.