Provider Demographics
NPI:1053373845
Name:JOHN CURELLI
Entity type:Organization
Organization Name:JOHN CURELLI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CURELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-693-4380
Mailing Address - Street 1:12 OLD SCHOOLHOUSE VILLAGE
Mailing Address - Street 2:
Mailing Address - City:VINEYARD HAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02568
Mailing Address - Country:US
Mailing Address - Phone:508-693-4380
Mailing Address - Fax:508-696-9350
Practice Address - Street 1:459 STATE RD
Practice Address - Street 2:UNIT 19
Practice Address - City:VINEYARD HAVEN
Practice Address - State:MA
Practice Address - Zip Code:02568
Practice Address - Country:US
Practice Address - Phone:508-693-4380
Practice Address - Fax:508-629-5656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-05
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1521543Medicaid
MA1537792Medicaid
MA395854OtherBLUE CROSS OF MA
MA1521543Medicaid