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DR. STEVEN RAYMOND PEZZULLO M.D
NPI 1336385350
General Practice in Coventry, RI

Active since December 22, 2008
982 TIOGUE AVE, COVENTRY, RI 02816(401) 821-6800(401) 821-8513 Get Directions Write a Review

NPPES record last updated: October 4, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Steven Raymond Pezzullo M.d NPPES

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

DR. STEVEN RAYMOND PEZZULLO M.D (NPI 1336385350) is an individual general practice provider in Coventry, Rhode Island, licensed in Rhode Island (5845) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1336385350
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. STEVEN RAYMOND PEZZULLOCredential: M.D
Location Address982 TIOGUE AVECoventry, RI 02816-6167
Mailing Address982 Tiogue AveCoventry, RI 02816-6167 · (401) 821-6800 · Fax (401) 821-8513
Phone(401) 821-6800
Fax(401) 821-8513
Sole ProprietorNo
Enumeration DateDecember 22, 2008
Last NPPES UpdateOctober 4, 2010
✔ NPI 1336385350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in RI · 5845
Definition
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
982 TIOGUE AVE, Coventry, RI 02816
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Other Identifiers 5

Medicaid7003151RI
Other1336385350Blue Cross
Medicare PIN007061131RI
Other1336385350United Healthcare
Medicare UPIND87286RI

Other Providers at the Same Location NPPES 17

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

OCEAN STATE URGENT CARE CENTER OF COVENTRY, LLC
Clinic/Center (Urgent Care)
982 TIOGUE AVE
COVENTRY, RI 02816
Kent County (401) 821-6800
PAWTUXET VALLEY MEDICAL, INC
Durable Medical Equipment & Medical Supplies
982 TIOGUE AVE
COVENTRY, RI 02816
Kent County (401) 821-6800
PAWTUXET VALLEY FAMILY CARE, LLC
Family Medicine
982 TIOGUE AVE
COVENTRY, RI 02816
Kent County (401) 821-6800
RACHEL SMERTZ DPT, PT
Physical Therapist
982 TIOGUE AVE
COVENTRY, RI 02816
Kent County (401) 615-3140
DR. JENNIFER O'BRIEN PT, DPT
Physical Therapist
982 TIOGUE AVE
COVENTRY, RI 02816
Kent County (401) 615-3140
DR. VIOLETA M MANANSALA M.D.
Radiology (Diagnostic Radiology)
982 TIOGUE AVE
COVENTRY, RI 02816
Kent County (401) 821-6800
OCEAN STATE PRIMARY CARE CENTER OF COVENTRY, LLC
Family Medicine
982 TIOGUE AVE
COVENTRY, RI 02816
Kent County (401) 821-6800
BRENDAN O'DONNELL
Physical Therapist
982 TIOGUE AVE
COVENTRY, RI 02816
Kent County (401) 615-3140

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 Steven Pezzullo's NPI number?

The NPI number for Steven Pezzullo is 1336385350. It was assigned to this individual provider in the NPPES registry on December 22, 2008.

Where is Steven Pezzullo located?

Steven Pezzullo practices at 982 Tiogue Ave, Coventry, RI 02816. The listed phone number is (401) 821-6800.

What is Steven Pezzullo's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Steven Pezzullo was last updated on October 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.