John Lewis Fedullo (NPI# 1538364237, PAC ID# 9032026703) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1538364237 |
| PAC ID by PECOS | 9032026703 |
| Professional Enrollment ID | I20050214000261 |
| Full Name | John Lewis Fedullo |
| Organization Legal Name | NYSARC INC FULTON COUNTY CHAPTER |
| Address |
465 N Perry St Johnstown NY 12095-1014 |
| Phone Number | 5187363937 |
| Gender | M |
| Credential | DO |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 1993 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 5890717979 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330047 | ST MARY'S HEALTHCARE |
| 330276 | NATHAN LITTAUER HOSPITAL |
| 330013 | ALBANY MEDICAL CENTER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4988 State Hwy 30, Amsterdam, NY 12010-7520 | 5185413600 | ST. MARY'S HEALTHCARE |
| 465 N Perry St, Johnstown, NY 12095-1014 | 5187363937 | NYSARC INC FULTON COUNTY CHAPTER |
| Organization Legal Name | NYSARC INC FULTON COUNTY CHAPTER |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Casey L Schweinsburg | Physical Therapy | Nysarc Inc Fulton County Chapter | 465 N Perry St, Johnstown, NY 12095-1014 |
| Robert A Butz | Psychologist, Clinical | Nysarc Inc Fulton County Chapter | 127 E State St, Gloversville, NY 12078-1204 |
| Jeffrey P Bernstein | Psychiatry | Nysarc Inc Fulton County Chapter | 2301 Western Ave, Guilderland, NY 12084-9749 |
| Terri J Preston | Occupational Therapy | Nysarc Inc Fulton County Chapter | 127 E State St, Gloversville, NY 12078-1204 |
| Susan R Murray | Clinical Social Worker | Nysarc Inc Fulton County Chapter | 127 E State St, Gloversville, NY 12078-1204 |
| Elizabeth R Mcfadden | Physical Therapy | Nysarc Inc Fulton County Chapter | 127 E State St, Gloversville, NY 12078-1204 |
| Sandra Goodrich | Physical Therapy | Nysarc Inc Fulton County Chapter | 465 N Perry St, Johnstown, NY 12095-1014 |
| Heidi H Vandeusen | Nurse Practitioner | Nysarc Inc Fulton County Chapter | 127 E State St, Gloversville, NY 12078-1204 |
| Deborah A Frascatore | Occupational Therapy | Nysarc Inc Fulton County Chapter | 465 N Perry St, Johnstown, NY 12095-1014 |
| Amy L Gagne | Nurse Practitioner | Nysarc Inc Fulton County Chapter | 465 N Perry St, Johnstown, NY 12095-1014 |
| Street Address |
465 N PERRY ST |
| City | JOHNSTOWN |
| State | NY |
| Zip | 12095-1014 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Casey L Schweinsburg | Physical Therapy | Nysarc Inc Fulton County Chapter | 465 N Perry St, Johnstown, NY 12095-1014 |
| Sandra Goodrich | Physical Therapy | Nysarc Inc Fulton County Chapter | 465 N Perry St, Johnstown, NY 12095-1014 |
| Deborah A Frascatore | Occupational Therapy | Nysarc Inc Fulton County Chapter | 465 N Perry St, Johnstown, NY 12095-1014 |
| Amy L Gagne | Nurse Practitioner | Nysarc Inc Fulton County Chapter | 465 N Perry St, Johnstown, NY 12095-1014 |
| Linday L Boris | Physical Therapy | Nysarc Inc Fulton County Chapter | 465 N Perry St, Johnstown, NY 12095-1014 |
| Jessica M Crannell | Physical Therapy | Nysarc Inc Fulton County Chapter | 465 N Perry St, Johnstown, NY 12095-1014 |
| Katelyn Suzanne Winkler | Physical Therapy | Nysarc Inc Fulton County Chapter | 465 N Perry St, Johnstown, NY 12095-1014 |
| Kelley Mcgork | Physical Therapy | Nysarc Inc Fulton County Chapter | 465 N Perry St, Johnstown, NY 12095-1014 |
| Christine M Stanavich | Occupational Therapy | Nysarc Inc Fulton County Chapter | 465 N Perry St, Johnstown, NY 12095-1014 |
| Rebecca Mroczka | Speech Language Pathologist | Nysarc Inc Fulton County Chapter | 465 N Perry St, Johnstown, NY 12095-1014 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven C Hammer | Optometry | Brite Eyes Optical Inc | Rr, 30a, Johnstown, NY 12095 |
| Shauna Zemken | Optometry | 86 Briggs St, Johnstown, NY 12095-1566 | |
| Kathleen Marie Catalano | Family Medicine | 41 S Perry St, Johnstown, NY 12095-2315 | |
| Ronald W Stock | Podiatry | 130 Prospect St, Johnstown, NY 12095-2501 | |
| Emily J Hagner | Clinical Social Worker | 55 E Main St, Suite 220, Johnstown, NY 12095-2641 | |
| Akber H Hassam | Internal Medicine | 2 Fon Clair Ter, Johnstown, NY 12095-3100 | |
| Jennifer Mehling | Nurse Practitioner | St. Mary's Healthcare | 700 S Perry St, Johnstown, NY 12095-3213 |
| Wafia Sarwer | Family Medicine | St. Mary's Healthcare | 700 S Perry St, Johnstown, NY 12095-3213 |
| Emilie Gabay | Nurse Practitioner | St Marys Healthcare | 700 S Perry St, Johnstown, NY 12095-3213 |
| Robin E Adams | Nurse Practitioner | St Marys Healthcare | 700 S Perry St, Johnstown, NY 12095-3213 |
| Find all physicians in zip 12095 | |||
| City | JOHNSTOWN |
| Zip Code | 12095 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | JOHNSTOWN + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on John Lewis Fedullo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.