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JOSEPH R. DUSSELDORP
NPI 1215459037
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since July 13, 2017PECOS Enrolled
243 CHARLES ST, BOSTON, MA 02114(617) 573-3654(617) 573-3939 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 13, 2017 (2 updates tracked since 2017).

About Joseph R. Dusseldorp NPPES

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

JOSEPH R. DUSSELDORP (NPI 1215459037) is an individual student in an organized health care education/training program in Boston, Massachusetts, licensed in Massachusetts (272690) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215459037
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOSEPH R. DUSSELDORP
Location Address243 CHARLES STBoston, MA 02114-3002
Mailing Address243 Charles StBoston, MA 02114-3002 · (617) 573-3654 · Fax (617) 573-3939
Phone(617) 573-3654
Fax(617) 573-3939
Sole ProprietorNo
Enumeration DateJuly 13, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1215459037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MA · 272690
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.
243 CHARLES ST, Boston, MA 02114
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph R. Dusseldorp 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.

CARLA PETERSEN AU.D., CCC-A
Audiologist
243 CHARLES ST, AUDIOLOGY DEPARTMENT
BOSTON, MA 02114
Suffolk County (617) 573-3266
DR. RYAN CARLSON MD PHD
Student in an Organized Health Care Education/Training Program
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 523-7900
MASSACHUSETTS EYE AND EAR INFIRMARY
Eyewear Supplier
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-3182
DANIEL ROBERT LEFEBVRE M.D.
Ophthalmology
243 CHARLES ST, 10TH FLOOR -- OPHTHALMIC PLASTIC SURGERY
BOSTON, MA 02114
Suffolk County (617) 523-7900
ELLIOTT D. KOZIN MD
Otolaryngology
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-6545
DR. LUCIA K SOMBERG MD, MPH
Emergency Medicine
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-3431
MS. JANET ENGLISH HUETTIG LICSW
Social Worker (Clinical)
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-3548
KYUNG OH DO, MS
Anesthesiology
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-3380

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Dusseldorp's NPI number?

The NPI number for Joseph Dusseldorp is 1215459037. It was assigned to this individual provider in the NPPES registry on July 13, 2017.

Where is Joseph Dusseldorp located?

Joseph Dusseldorp practices at 243 Charles St, Boston, MA 02114. The listed phone number is (617) 573-3654.

What is Joseph Dusseldorp's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Joseph Dusseldorp enrolled in Medicare?

Yes. Joseph Dusseldorp is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joseph Dusseldorp was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.