FELICITO L. FALLER, M.D. INC (NPI# 1265600779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265600779 |
| Entity Type | Organization |
| Organization Name | FELICITO L. FALLER, M.D. INC |
| Other Organization Name | FELICITO L. FALLER, M.D. INC |
| Practice Address |
218 Upham St Melrose MA 02176-3549 |
| Mailing Address |
17 Walnut St Malden MA 02148-7028 |
| Practice Telephone | 6177550621 |
| Mailing Telephone | 7813213470 |
| Mailing Fax Number | 7813221139 |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2020-11-03 |
| Authorized Official Name | DR. FELICITO L FALLER (OWNER PROPRIETOR) |
| Authorized Official Telephone | 7813213470 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 32598 | MA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9738738 | 05 |
| Other Name | Type Code |
|---|---|
| Felicito L. Faller, M.D. Inc | Doing Business As Name - Organization |
| Street Address |
218 UPHAM ST |
| City | MELROSE |
| State | MA |
| Zip Code | 02176-3549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384826 | Edrine Astremont | Registered Nurse | 414 Malden, Massachusetts, NY 02176 | 2020-07-23 |
| 1194203919 | Caroline Bregman | Social Worker | 12 Howard St, Melrose, MA 02176 | 2018-08-02 |
| 1386167682 | Carmen Alicia Fernandez | Community/Behavioral Health | 24 Lynde St, Melrose, MA 02176 | 2017-07-19 |
| 1518316116 | Sheila Kelley | Physical Therapist | 15 Green Street, Melrose, MA 02176 | 2016-06-06 |
| 1083049712 | Randi A Brown | Counselor | 610 A Main Street, Melrose, MA 02176 | 2013-09-12 |
| 1306121488 | Frank Anthony Pennacchio | Pharmacist | 17 Coolidge Road, Melrose, MA 02176 | 2011-10-20 |
| 1245401751 | Meaghan Rudolph | Registered Nurse | 11 Stratford Rd, Melrose, MA 02176 | 2008-03-13 |
| 1104039726 | Judy E Bushee | Custodial Care Facility | The Toole Nursing Home, 92 Franklin Street, Melrose, MA 02176 | 2007-05-08 |
| 1811012776 | Mark Joseph Gianatassio | Dentist | 820 Lynn Fells, Melrose, MA 02176 | 2007-03-20 |
| 1154452993 | City of Melrose | Local Education Agency (LEA) | 360 Lynn Fells Parkway, Melrose, MA 02176 | 2007-03-07 |
| Find all providers in zip 02176 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396195558 | Michaela Flaherty | Specialist | 169 Linwood Ave, Melrose, MA 02176-4723 | 2016-06-20 |
| 1477932408 | Eswt Inc | Specialist | 671 Se 5th Avenue, Box 91, Melrose, FL 32666 | 2015-05-22 |
| 1194104414 | Anne Wister | Specialist | 102 Serenity Dr, Melrose, FL 32666-3032 | 2015-05-19 |
| 1033460407 | Michael P Stead | Specialist | 18 W Wyoming Ave Apt 12, Melrose, MA 02176-4656 | 2012-09-26 |
| 1548475593 | Amy Lynae Varner | Specialist | 300 State Road 26, Suite 200-3, Melrose, FL 32666-3902 | 2007-05-12 |
| 1013058916 | Fischer Neurology Assoc PC | Specialist | 830 Main St. Ground Level, Melrose, MA 02176-2711 | 2007-02-12 |
| 1790744886 | Edward Fischer | Specialist | 830 Main Street, Unit One, Melrose, MA 02176 | 2006-03-20 |
| 1902865017 | Michele R Sammaritano | Specialist | 830 Main St Unit 1, Melrose, MA 02176-2711 | 2006-03-20 |
| 1144214032 | Abraham T Shurland | Specialist | 1 City Hall Plz, Melrose, MA 02176-3149 | 2005-09-07 |
| 1578891453 | David J. Cohen, M.d. | Specialist | 8 Porter St, Melrose, MA 02176-2824 | 2009-12-03 |
| Find all providers in MELROSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.