MR. JOHN CHRISTIAN MARCUCCI (NPI# 1235281122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235281122 |
| Entity Type | Individual |
| Full Name | MR. JOHN CHRISTIAN MARCUCCI |
| Credential | BOCOP, CPO |
| Practice Address |
4007 Main St Bridgeport CT 06606-2707 |
| Practice Telephone | 2033727112 |
| Mailing Telephone | 2033727112 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-10-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205914744 | John F. Marcucci | Emergency Medicine | 4700 Alliance Blvd, Baylor Plano Emergency Department, Plano, TX 75093-5323 | 2006-11-01 |
| Street Address |
4007 MAIN ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396926333 | Jkm Enterprises LLC | Durable Medical Equipment & Medical Supplies | 4007 Main St, Bridgeport, CT 06606-2707 | 2007-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063760064 | Rochelle Powell | Specialist | 1856 Seaview Ave, Bridgeport, CT 06610-2731 | 2012-08-22 |
| 1922356112 | Kisha K Council | Specialist | 411 E Main St, Bridgeport, CT 06608-2326 | 2012-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144852377 | Sonia Maria Barbosa | Specialist | 70 Woolson St, Watertown, CT 06795-2229 | 2020-02-05 |
| 1184270894 | Indigo Hair Innovations LLC | Specialist | 641 New Park Ave, West Hartford, CT 06110-1318 | 2019-08-18 |
| 1811467442 | Joseph C Gaetani Jr. | Specialist | 340 Broad Street Suite 320, Windsor, CT 06095 | 2018-11-27 |
| 1063849057 | Maureen Pavelski | Specialist | 313 Flanders Rd, East Lyme, CT 06333-1711 | 2013-10-04 |
| 1407036908 | Domenica Freda | Specialist | 760 Boston Post Rd, Milford, CT 06460-2640 | 2007-11-13 |
| 1467586412 | Lori A Ustico | Specialist | 170 Railroad St, Canaan, CT 06018-2011 | 2007-03-14 |
| 1235665977 | Tamika Gordon | Specialist | 33 Bernhard Rd, North Haven, CT 06473-3900 | 2017-05-01 |
| 1639193386 | Louis M Perrotta | Specialist | 141 Dowd Ave, Canton, CT 06019-2401 | 2006-07-26 |
| City | BRIDGEPORT |
| Zip Code | 06606 |
Please comment or provide details below to improve the information on MR. JOHN CHRISTIAN MARCUCCI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.