Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angelo Pucillo, PA

Individual provider Physician Assistant · NPI 1134318090

Angelo Pucillo, PA is a Physician Assistant in Melrose, Massachusetts. Qualified in 2007, 19 years ago. Practices with Emerson Practice Associates, Inc, a 247-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
19
Licensed in
MA
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

585 Lebanon St
Melrose, MA 02176-3225
Phone: (781) 979-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2423 (MA)

Record details

NPI number1134318090
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 17, 2007
Last updated in NPPESFebruary 7, 2008
Mailing address12 Gill St, Suite 3000, Woburn, MA 01801-1728

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Emerson Practice Associates, Inc — 247 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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