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

Dr. John Elliott Boccaccio, MD

Individual provider Specialist · NPI 1164463758

Dr. John Elliott Boccaccio, MD is a Specialist in Grosse Pointe Woods, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

19229 Mack Ave Ste 38
Grosse Pointe Woods, MI 48236-2858
Phone: (313) 885-1520
Fax: (313) 885-1740
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 4301047282 (MI)

Record details

NPI number1164463758
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2006
Last updated in NPPESJuly 13, 2026

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