DANIEL WILLIAM CONNELLY
NPI 1033868880
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 21, 2022PECOS Enrolled
801 MASSACHUSETTS AVE FL 6, BOSTON, MA 02118(617) 414-5951 Get Directions Write a Review

NPPES record last updated: March 26, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Daniel William Connelly NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL WILLIAM CONNELLY (NPI 1033868880) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033868880
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDANIEL WILLIAM CONNELLY
Location Address801 MASSACHUSETTS AVE FL 6Boston, MA 02118-2605
Mailing Address801 Massachusetts Ave Fl 6Boston, MA 02118-2605 · (617) 414-5951 · Fax (617) 414-9251
Sole ProprietorNo
Enumeration DateMarch 21, 2022
Last NPPES UpdateMarch 26, 2022
NPPES CertifiedMarch 26, 2022
NPI 1033868880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

801 MASSACHUSETTS AVE FL 6, Boston, MA 02118

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Daniel William Connelly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
801 MASSACHUSETTS AVE FL 6
BOSTON, MA 02118
Student in an Organized Health Care Education/Training Program
801 MASSACHUSETTS AVE FL 6
BOSTON, MA 02118
Student in an Organized Health Care Education/Training Program
801 MASSACHUSETTS AVE FL 6
BOSTON, MA 02118
Student in an Organized Health Care Education/Training Program
801 MASSACHUSETTS AVE FL 6
BOSTON, MA 02118
Student in an Organized Health Care Education/Training Program
801 MASSACHUSETTS AVE FL 6
BOSTON, MA 02118
Student in an Organized Health Care Education/Training Program
801 MASSACHUSETTS AVE FL 6
BOSTON, MA 02118
Student in an Organized Health Care Education/Training Program
801 MASSACHUSETTS AVE FL 6
BOSTON, MA 02118
Student in an Organized Health Care Education/Training Program
801 MASSACHUSETTS AVE FL 6
BOSTON, MA 02118

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033868880, enumerated as an "individual" on March 21, 2022.

The provider is located at 801 MASSACHUSETTS AVE FL 6 BOSTON, MA 02118 and the phone number is (617) 414-5951.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.