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DR. JEFFREY PAUL FENNELLY MD
NPI 1760770531
General Practice in Ayer, MA

Active since July 14, 2011

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 17, 2021, Nov 13, 2019 (2 updates tracked since 2019).

About Dr. Jeffrey Paul Fennelly Md NPPES

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

DR. JEFFREY PAUL FENNELLY MD (NPI 1760770531) is an individual general practice provider in Ayer, Massachusetts, licensed in New York (301389) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1760770531
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JEFFREY PAUL FENNELLYCredential: MD
Location Address42 PATTON RDAyer, MA 01434-3802
Mailing Address42 Patton RdAyer, MA 01434-3802 · (781) 555-1212
Phone(781) 555-1212
Sole ProprietorYes
Enumeration DateJuly 14, 2011
Last NPPES UpdateMay 17, 20212 updates tracked since enumeration
NPPES CertifiedMay 17, 2021
✔ NPI 1760770531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NY · 301389
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
42 PATTON RD, Ayer, MA 01434
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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.

PAUL ANDERSON
Psychologist
42 PATTON RD
DEVENS, MA 01434
Worcester County (978) 796-1420
DR. ERICKA RICE-AQUINO PSY.D.
Psychologist
42 PATTON RD
DEVENS, MA 01434
Worcester County (978) 796-1000
PRATIK BHUPENDRA TANK
Pharmacist
42 PATTON RD
AYER, MA 01434
Worcester County (978) 796-1000
CHRISTINA L COZZA
Social Worker (Clinical)
42 PATTON RD
AYER, MA 01434
Worcester County (978) 796-1000
DR. SANDRA LYNN HOWARD M.D.
Internal Medicine
42 PATTON RD
AYER, MA 01434
Worcester County (978) 796-1411
MICHAELA ALEXIS MONTECALVO PA-C
Physician Assistant
42 PATTON RD
AYER, MA 01434
Worcester County (978) 796-1000
JEREMY DAUTRICH PT
Physical Therapist
42 PATTON RD
AYER, MA 01434
Worcester County (717) 490-5635
CHELSEA COFFEY PHYSICIAN ASSISTANT
Physician Assistant (Medical)
42 PATTON RD
DEVENS, MA 01434
Worcester County (978) 796-1000

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 Jeffrey Fennelly's NPI number?

The NPI number for Jeffrey Fennelly is 1760770531. It was assigned to this individual provider in the NPPES registry on July 14, 2011.

Where is Jeffrey Fennelly located?

Jeffrey Fennelly practices at 42 Patton Rd, Ayer, MA 01434. The listed phone number is (781) 555-1212.

What is Jeffrey Fennelly'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 Jeffrey Fennelly was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.