DR. W. VINCENT PERRELLI (NPI# 1902806219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902806219 |
| Entity Type | Individual |
| Full Name | DR. W. VINCENT PERRELLI |
| Credential | MD |
| Practice Address |
671 Main St Waltham MA 02451-0602 |
| Mailing Address |
8 Common St Waltham MA 02451-4421 |
| Practice Telephone | 7816473040 |
| Practice Fax Number | 7816473044 |
| Mailing Telephone | 7816473040 |
| Mailing Fax Number | 7816473044 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2010-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
32113 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2007568 | 05 |
| Street Address |
671 MAIN ST |
| City | WALTHAM |
| State | MA |
| Zip Code | 02451-0602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407903420 | Susan Franchi | Nurse Practitioner | 671 Main St, Waltham, MA 02451-0602 | 2007-01-04 |
| 1043392590 | Mary S Bannon | Nurse Practitioner | 671 Main St, Waltham, MA 02451-0602 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719190 | Haeun Yang | Behavior Technician | 303 Wyman Street Suite 354, 344, 345, Waltham, MA 02451 | 2019-09-16 |
| 1982252599 | Sinclair Fashaw-braxton | Behavior Technician | 303 Wyman Street, Suite 354, 344, 345, Waltham, MA 02451 | 2019-08-27 |
| 1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
| 1760964118 | Elizabeth Boardman Harris | Social Worker | 60 Hickory Drive 4th Floor, Waltham, MA 02451 | 2018-09-02 |
| 1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
| 1962998013 | Leighann Teresa Healy | Behavior Technician | 303 Wyman Suite 300, Waltham, MA 02451 | 2018-07-02 |
| 1194234492 | Bruna Rossi Hoffman | Dentist | 12 Grant Place, Apt 1, Waltham, MA 02451 | 2017-09-29 |
| 1265959159 | Matthew C Page-shelton | Counselor | 2208 Stearns Hill Road, Waltham, MA 02451 | 2017-08-23 |
| 1306380837 | Sherri Lynn Duquette | Behavior Technician | 1430 Main Street, Waltham, MA 02451 | 2016-12-19 |
| 1649628728 | Keren Matveev | Family Medicine | 75 Third Avenue, First Floor, Waltham, MA 02451 | 2016-05-30 |
| Find all providers in zip 02451 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487834 | Dsmd Consulting LLC | Internal Medicine | 7 Michelle Dr, Burlington, MA 01803-4510 | 2020-08-12 |
| 1013535632 | Alzheimers Disease Center | Internal Medicine | 54 Miller St Fl 4, Quincy, MA 02169-4725 | 2020-07-09 |
| 1669958252 | Marie Marguerite Peloquin | Internal Medicine | 480 Maple St. Suite 201, Lahey Outpatient Center, Danvers, Danvers, MA 01923 | 2018-07-17 |
| 1306220900 | Mariuxi Alexandra Viteri Malone | Internal Medicine | 725 Albany Street, Shapiro 9, Boston, MA 02118 | 2015-07-13 |
| 1548640105 | At Care, Pllc | Internal Medicine | 907 East St, Carlisle, MA 01741-1214 | 2015-06-08 |
| 1043620545 | Cynthia Schoettler | Internal Medicine | 110 Francis St Ste 1a, Boston, MA 02215 | 2014-05-06 |
| 1356778146 | East Coast Medical Associates Pllc | Internal Medicine | 149 Ashley St, Fall River, MA 02720-1511 | 2013-10-11 |
| 1437454287 | Geriatric Internal Medicine Specialists, LLC | Internal Medicine | 2 Kirkat Way, North Dartmouth, MA 02747-3860 | 2011-01-25 |
| 1306161443 | Aco Health Solutions, LLC | Internal Medicine | 651 Orchard St Ste 206, New Bedford, MA 02744-1007 | 2010-04-01 |
| 1013178698 | Geriatric Solutions | Internal Medicine | 370 Read St, Seekonk, MA 02771-1405 | 2008-06-17 |
| Find all providers with the same taxonomy | ||||
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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.