Jeffrey E. Puccio M.D., P.C.
Jeffrey E. Puccio M.D., P.C. is a healthcare organization registered as Gastroenterology Physician in Dearborn, MI, holding Type 2 (organization) NPI 1619245461 since 2011. The authorized official on file is Jeffrey Puccio, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1619245461 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jeffrey E. Puccio M.D., P.C. |
| Practice address | 2021 MONROE ST, SUITE 101, Dearborn, MI, 48124 |
| Phone | 3132774177 |
| Fax | 3132774157 |
| Enumeration date | 2011-12-08 |
| Last updated in NPPES | 2011-12-08 |
Authorized official
| Name | Jeffrey Puccio |
|---|---|
| Title | President |
| Phone | 3132774177 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207RG0100X | Gastroenterology Physician | Primary | 4301052835 | MI |
Copy-ready billing details
Provider: Jeffrey E. Puccio M.D., P.C. NPI: 1619245461 Taxonomy: 207RG0100X (Gastroenterology Physician) Address: 2021 MONROE ST, SUITE 101, Dearborn, MI, 48124
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1639149610 | Charles Slone | Individual | Gastroenterology Physician | Dearborn, MI |
| 1144290909 | Tawfiq Hassan | Individual | Internal Medicine Physician | Dearborn, MI |
| 1275507733 | Jeffrey Puccio | Individual | Specialist | Dearborn, MI |
| 1770889834 | Charles R. Slone, M.D., P.C. | Organization | Gastroenterology Physician | Dearborn, MI |
| 1700310729 | Jacklyn Carrillo | Individual | Behavior Analyst | Dearborn, MI |
| 1750809190 | Samah Khatib | Individual | Behavior Analyst | Dearborn, MI |
| 1306337472 | Shiem Alazawi | Individual | Dentist | Dearborn, MI |
| 1548814551 | Advance Aba , LLC | Organization | Community/Behavioral Health Agency | Dearborn, MI |
Verify this record
Cross-check NPI 1619245461 against the authoritative CMS record: view Jeffrey E. Puccio M.D., P.C. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-12-08.