JOSEPH L PENNACCHIO, MD (NPI# 1982887873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982887873 |
| Entity Type | Organization |
| Organization Name | JOSEPH L PENNACCHIO, MD |
| Practice Address |
50 Tremont St Suite 104 Melrose MA 02176-2721 |
| Practice Telephone | 7816626404 |
| Practice Fax Number | 7816650658 |
| Mailing Telephone | 7816626404 |
| Mailing Fax Number | 7816650658 |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |
| Authorized Official Name | DR. JOSEPH L PENNACCHIO (OWNER) |
| Authorized Official Telephone | 7816626404 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
42715 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0194662 | 05 |
| Street Address |
50 TREMONT ST SUITE 104 |
| City | MELROSE |
| State | MA |
| Zip Code | 02176-2721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245221951 | Rhonda S Fogle | Pediatrics | 50 Tremont St, Melrose, MA 02176-2721 | 2005-11-02 |
| 1063882199 | Jessica Jordan | Nurse Practitioner | 50 Tremont St, Suite 104, Melrose, MA 02176-2721 | 2015-10-01 |
| 1104177641 | Margaret Connolly | Nurse Practitioner | 50 Tremont St, Suite 103, Melrose, MA 02176-2721 | 2012-09-24 |
| 1396068102 | Carlo Cecchetti Md PC | Internal Medicine | 50 Tremont St, Suite 107, Melrose, MA 02176-2721 | 2010-03-08 |
| 1093998981 | Ronald P Sen, Md | Internal Medicine | 50 Tremont St, Suite 109, Melrose, MA 02176-2721 | 2007-12-13 |
| 1477749133 | Salil K Midha, Md, PC | Internal Medicine | 50 Tremont St, Suite 104, Melrose, MA 02176-2721 | 2007-09-17 |
| 1730375494 | Henry D Haynes, LLC | Surgery | 50 Tremont St, Apt 101, Melrose, MA 02176-2721 | 2007-09-17 |
| 1760507875 | Henry D Haynes | Surgery | 50 Tremont St, #101, Melrose, MA 02176-2721 | 2007-03-20 |
| 1548312713 | Rhonda S. Fogle, Md,pc | Clinic/Center | 50 Tremont St, Melrose, MA 02176-2721 | 2007-01-17 |
| 1447343553 | Victor Paul Fournier | Pharmacist | 50 Tremont St, Melrose, MA 02176-2721 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384826 | Edrine Astremont | Registered Nurse | 414 Malden, Massachusetts, NY 02176 | 2020-07-23 |
| 1194203919 | Caroline Bregman | Social Worker | 12 Howard St, Melrose, MA 02176 | 2018-08-02 |
| 1386167682 | Carmen Alicia Fernandez | Community/Behavioral Health | 24 Lynde St, Melrose, MA 02176 | 2017-07-19 |
| 1518316116 | Sheila Kelley | Physical Therapist | 15 Green Street, Melrose, MA 02176 | 2016-06-06 |
| 1083049712 | Randi A Brown | Counselor | 610 A Main Street, Melrose, MA 02176 | 2013-09-12 |
| 1306121488 | Frank Anthony Pennacchio | Pharmacist | 17 Coolidge Road, Melrose, MA 02176 | 2011-10-20 |
| 1245401751 | Meaghan Rudolph | Registered Nurse | 11 Stratford Rd, Melrose, MA 02176 | 2008-03-13 |
| 1104039726 | Judy E Bushee | Custodial Care Facility | The Toole Nursing Home, 92 Franklin Street, Melrose, MA 02176 | 2007-05-08 |
| 1811012776 | Mark Joseph Gianatassio | Dentist | 820 Lynn Fells, Melrose, MA 02176 | 2007-03-20 |
| 1154452993 | City of Melrose | Local Education Agency (LEA) | 360 Lynn Fells Parkway, Melrose, MA 02176 | 2007-03-07 |
| Find all providers in zip 02176 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699305615 | Donghui L Yu | Internal Medicine | 1500 District Ave Ste 2119, Burlington, MA 01803-5069 | 2020-01-17 |
| 1689191090 | Clinton Wayne Lewis | Internal Medicine | 450 Brookline Ave # 2-058, Boston, MA 02215-5418 | 2017-08-25 |
| 1306208905 | Gregory Ivan Berk | Internal Medicine | 133 Claybrook Rd, Dover, MA 02030-2116 | 2016-03-23 |
| 1457732711 | Camille Johnson | Internal Medicine | Section of Hematology and Oncology Bu/bmc Cancer Center, Boston University 650 Albany St, Ebrc 406, Boston, MA 02118 | 2015-06-12 |
| 1073946018 | Howard George Goldsweig | Internal Medicine | 2400 Beacon St Unit 213, Chestnut Hill, MA 02467-1469 | 2013-08-13 |
| 1861745796 | Benjamin Koziner | Internal Medicine | 11 Farmington Ave, Haverhill, MA 01832-8608 | 2012-10-16 |
| 1962768812 | Elizabeth Paige Walsh | Internal Medicine | 2443 Massachusetts Ave, Apt 3, Cambridge, MA 02140-1132 | 2012-04-04 |
| 1457669293 | Plymouth Medal Group Inc | Internal Medicine | 71 Commercial St, Ste 307, Boston, MA 02109-1320 | 2010-09-14 |
| 1295060812 | Abraham Mark Colb | Internal Medicine | 226 Wren St, West Roxbury, MA 02132-2716 | 2009-10-15 |
| 1962646307 | Anna Berkenblit | Internal Medicine | 35 Cambridge Park Dr., Cambridge, MA 02140 | 2009-04-29 |
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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.