DR. JOHN RICHARD PETTINATO D.O. NPI 1730277914

NPI Information

NPI: 1730277914
Provider Name: DR. JOHN RICHARD PETTINATO, D.O.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Organization: JORDAN PHYSICIAN ASSOCIATES INC.

PECOS Registration: Yes

Address:
46 OBERY ST
PLYMOUTH, MA
ZIP 02360
Phone: (508) 210-5920
Get Directions

DR. John Richard Pettinato, D.O. is a neurology psychiatry neurology in Plymouth, MA with 31 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. John Richard Pettinato, D.O. NPI is 1730277914. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CHICAGO COLLEGE OF OSTEOPATHY
Graduation Year:1993

The provider's business location address is:

46 OBERY ST
PLYMOUTH, MA
ZIP 02360-237
Phone: (508) 210-5920
Fax: (508) 732-8935

The NPI 1730277914 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 2/24/2020.

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
1	2084N0400X	Psychiatry & Neurology	Neurology	152555	MASSACHUSETTS	Yes

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
1	30221273	MEDICAID	NEW HAMPSHIRE

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: 11/14/2023

NPI Synchronization or Removal

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