Dzialo Physiatry Consulting PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

212681 Issued in MA

Legal business name

DZIALO PHYSIATRY CONSULTING PLLC

Practice address

1515 Commonwealth Ave.
Brighton, MA 02135-3617

Phone

(617) 254-1100

Fax

(617) 783-1813

NPI assigned

Aug 20, 2008

Organization subpart

No

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

Authorized official

Name

Ann Francine Dzialo, M.D.

Title

Physician

Phone

(978) 302-8855

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ann Francine Dzialo, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Brighton, MA
  • NPI 1467443465
  NPD (past)

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1992952055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 129",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019230229",
            "telephone_number": "978-762-4888",
            "fax_number": "978-762-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 COMMONWEALTH AVE.",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353617",
            "telephone_number": "617-254-1100",
            "fax_number": "617-783-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DZIALO PHYSIATRY CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "DZIALO",
        "authorized_official_first_name": "ANN FRANCINE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "978-302-8855",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "212681",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156841",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Duppert, PMHNP
• Jonathan Murray Durgin, MD
• Edward Michael Dussom, MD
• Ketura Duvil
• Mazen S Duwaji, MD
• Ann Francine Dzialo, M.D.
• Ronit Eavri
• Cheryl Ebenstein, LICSW
• Economic Mobility Pathways, Inc.
• Edmund H. Ernst, M.D.

• Physical Medicine & Rehabilitation Physician in Brighton, MA
• Providers in Brighton, MA by specialty
• Physical Medicine & Rehabilitation Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.