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

Dr. John Depetrillo Jr., MD

Individual provider Internal Medicine Physician · NPI 1013127562

Dr. John Depetrillo Jr., MD is an Internal Medicine in Forest Hills, New York. Qualified in 2005, 21 years ago. Practices with Ccmma Nj LLC, a 30-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
21
Licensed in
NY
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10201 66th Rd
Forest Hills, NY 11375-2029
Phone: (718) 830-4359
Fax: (718) 830-1015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 250815 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 250815-1 (NY)
Infectious Disease Physician Taxonomy 207RI0200X · Licence 250815-1 (NY)

Record details

NPI number1013127562
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2007
Last updated in NPPESSeptember 2, 2014

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Ccmma Nj Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Forest Hills