JOHN V GANDOLFO MD NPI 1548332992

NPI Information

  • NPI: 1548332992
  • Provider Name: JOHN V GANDOLFO, MD
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • Address: ONE ROOSEVELT AVENUE SUITE 204
    PEABODY, MA
    ZIP 01960
  • Phone: (978) 536-7778

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NPI Details

John V Gandolfo, MD is an internal medicine in Peabody, MA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. John V Gandolfo, MD NPI is 1548332992. 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:

ONE ROOSEVELT AVENUE SUITE 204
PEABODY, MA
ZIP 01960
Phone: (978) 536-7778
Fax: (978) 536-2998

The enumeration date for this NPI number is 11/14/2006 and was last updated on 9/11/2025.

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
1207R00000XInternal Medicine48148MASSACHUSETTSYes
2207RG0100XInternal MedicineGastroenterology48148MASSACHUSETTSNo

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
1J02927OTHERMASSACHUSETTSBLUE SHIELD OF MA
261925OTHERMASSACHUSETTSHAVARD PILGRIM HEALTHCARE
3048148OTHERMASSACHUSETTSTUFTS HEALTH PLANS
46180884MEDICAIDMASSACHUSETTS

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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