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

Dr. John Lewis Fedullo, DO

Individual provider Internal Medicine Physician · NPI 1538364237

Dr. John Lewis Fedullo, DO is a Physical Medicine and Rehabilitation in Amsterdam, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 1993, 33 years ago. Practices with Nysarc Inc Fulton County Chapter, a 27-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
33
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4988 State Highway 30
Amsterdam, NY 12010-7520
Phone: (518) 841-3481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 197917 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 197917 (NY)

Record details

NPI number1538364237
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 20, 2007
Last updated in NPPESDecember 20, 2022
Certification dateDecember 20, 2022
Mailing address4988 State Highway 30, Amsterdam, NY 12010-7520

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 1993 (33 years in practice)
Group practice Nysarc Inc Fulton County Chapter — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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