DR. JOHN PETRUZZELLI (NPI# 1376668491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376668491 |
| Entity Type | Individual |
| Full Name | DR. JOHN PETRUZZELLI |
| Credential | D.C. |
| Practice Address |
491 Broadway Somerville MA 02145-2607 |
| Mailing Address |
16a Gerry St Stoneham MA 02180-2605 |
| Practice Telephone | 6176279099 |
| Practice Fax Number | 6176279044 |
| Mailing Telephone | 7817993957 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2405 | MA | Chiropractic Providers |
| Street Address |
491 BROADWAY |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02145-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225270960 | Dr.john's Chiropractic Center | Chiropractor | 491 Broadway, Somerville, MA 02145-2607 | 2009-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497230684 | Marisa Katherine Glynn | Psychologist | 35 Edgar Avenue, Somerville, MA 02145 | 2018-10-03 |
| 1811478274 | Rolanda Santos Prophete | Counselor | 18 Sargent Ave, Somerville, MA 02145 | 2018-08-23 |
| 1619465101 | Shannon Comer | Registered Nurse | 64 Sycamore St Apartment 1, Somerville, MA 02145 | 2018-04-30 |
| 1184121261 | Deborah Camara | Social Worker | 89 Cross Street, Apt 1, Somerville, MA 02145 | 2018-04-06 |
| 1073047569 | Nicole Patzelt | Dermatology | 192a School St Apt 2, Somerville, MA 02145 | 2017-04-12 |
| 1316327018 | Christina Gasbarro | Family Medicine | Cha Assembly Square Care Center, 5 Middlesex Avenue, Somerville, MA 02145 | 2015-06-08 |
| 1902236359 | Prativa Bhatta | Counselor | 76 Cross St, Somerville, MA 02145 | 2013-11-21 |
| 1427497015 | Veronica Wu | Physician Assistant | 60 Clyde Street, #5, Somerville, MA 02145 | 2013-06-18 |
| 1790045797 | Cambridge Health Alliance | Rehabilitation Unit | 2 Middlesex Avenue, Somerville, MA 02145 | 2012-05-23 |
| 1871809665 | Lauren Holland | Occupational Therapist | 5 Middlesex Avenue, Somerville, MA 02145 | 2010-08-31 |
| Find all providers in zip 02145 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831664903 | Lifeworks Chiropractic LLC | Chiropractor | 278 Elm St Ste 229, Somerville, MA 02144-2919 | 2018-10-04 |
| 1629596549 | John Fredrick Mccarthy Jr. | Chiropractor | 71 Holland St, Somerville, MA 02144-2733 | 2017-08-30 |
| 1992238729 | Alexander J. Kishyk, D.c. LLC | Chiropractor | 373 E Main St Ste 10, Somerville, NJ 08876-3143 | 2017-04-08 |
| 1992079255 | Samsara Chiropractic Wellness Center | Chiropractor | 1 Eastern Ave Ste 2, Somerville, NJ 08876-2552 | 2012-03-05 |
| 1922281567 | David Gregory Shadrick Jr. | Chiropractor | 49 Holland St, Somerville, MA 02144 | 2007-12-05 |
| 1194933986 | Cynthia Snyder | Chiropractor | 1 West Cliff St, Somerville, NJ 08876 | 2007-05-18 |
| 1629284146 | Rebecca Herrmann | Chiropractor | 240b Elm St, Somerville, MA 02144-2960 | 2007-05-14 |
| 1568584704 | Curtis M Langer | Chiropractor | 179 Elm St, Suite 202, Somerville, MA 02144-3145 | 2007-04-06 |
| 1326172610 | Fred Barreau | Chiropractor | 240-a Elm Street, Suite 27, Somerville, MA 02144-2935 | 2007-03-16 |
| 1730248428 | Amethyst Chiropractic, P.C. | Chiropractor | 259 Elm Street, Suite 300, Somerville, MA 02144 | 2006-12-08 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02145 |
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| 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.