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

Individual provider Nurse Practitioner · NPI 1982261160

John Thomas Rotatori is a Nurse Practitioner in Worcester, Massachusetts. Qualified in 2018, 8 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
8
Licensed in
MA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (774) 442-5051
Fax: (774) 442-6959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN2312183 (MA)
Nurse Practitioner Taxonomy 363L00000X · Licence 2312183 (MA)

Record details

NPI number1982261160
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 23, 2019
Last updated in NPPESMarch 21, 2022
Certification dateMarch 21, 2022
Mailing addressPo Box 415348, Boston, MA 02241-5348

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Umass Memorial Medical Group Inc — 2467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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