DR. STEVEN RAYMOND PEZZULLO M.D NPI 1336385350

NPI Information

  • NPI: 1336385350
  • Provider Name: DR. STEVEN RAYMOND PEZZULLO, M.D
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • Address: 982 TIOGUE AVE
    COVENTRY, RI
    ZIP 02816
  • Phone: (401) 821-6800

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NPI Details

DR. Steven Raymond Pezzullo, M.D is a general practice in Coventry, RI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Steven Raymond Pezzullo, M.D NPI is 1336385350. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

982 TIOGUE AVE
COVENTRY, RI
ZIP 02816-167
Phone: (401) 821-6800
Fax: (401) 821-8513

The enumeration date for this NPI number is 12/22/2008 and was last updated on 10/4/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice5845RHODE ISLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17003151MEDICAIDRHODE ISLAND
21336385350OTHERBLUE CROSS
3007061131MEDICARE PINRHODE ISLAND
41336385350OTHERUNITED HEALTHCARE
5D87286MEDICARE UPINRHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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