ROBERT A DITULLIO, MD
NPI 1639374499
Specialist in Quincy, MA

NPI Status: Active since June 20, 2007

Contact Information

157 WASHINGTON ST
QUINCY, MA
ZIP 02169
Phone: (617) 471-5290
Fax: (617) 984-0626

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  • Organization
  • Specialist

About ROBERT A DITULLIO, MD

This page provides the complete NPI Profile along with additional information for Robert A Ditullio, Md, a provider established in Quincy, Massachusetts operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1639374499 assigned on June 2007. The practitioner's primary taxonomy code is 174400000X with license number 25475 (MA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Robert Ditullio M.d. (Ceo)

NPI
1639374499
Provider Name
ROBERT A DITULLIO, MD
Entity Type
Organization
Location Address
157 WASHINGTON ST QUINCY, MA 02169
Location Phone
(617) 471-5290
Location Fax
(617) 984-0626
Mailing Address
157 WASHINGTON ST QUINCY, MA 02169
Mailing Phone
(617) 471-5290
Mailing Fax
(617) 984-0626
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-20-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
25475
License State
MA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBERT DITULLIO M.D.

Authorized Official Title
CEO
Authorized Official Phone
(617) 471-5290

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8151OTHER (01)MAHARVARD PILGRIM
025475OTHER (01)MATUFTS HEALTH CARE
0176001MEDICAID (05)MA 
666270OTHER (01)MACIGNA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639374499
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669678418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 6 + 7 + 8 + 4 + 1 + 8 + 24 = 81
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 81 = 99

The NPI number 1639374499 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1508045493DR. SHAHRZAD SHAHBAZIAN DMD
Individual
Dentist157 WASHINGTON ST
QUINCY, MA 02169
(617) 479-7625
1033528195DR. CAMERON SHAHBAZIAN DMD
Individual
Dentist157 WASHINGTON ST
QUINCY, MA 02169
(617) 320-0859
1740403906AMIR SHAHBAZIAN, DMD PC
Organization
Dentist157 WASHINGTON ST
QUINCY, MA 02169
(617) 479-7625

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639374499, enumerated in the NPI registry as an "organization" on June 20, 2007

The provider is located at 157 Washington St Quincy, Ma 02169 and the phone number is (617) 471-5290

This medical organization specializes in Specialist with taxonomy code 174400000X

The provider might be accepting Accepts: Medicare, Medicaid, Tufts Health Plan and Cigna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 20, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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