Robert S Gilardetti, M.D.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

152305 Issued in MA

Practice address

691 Kingstown Rd
Wakefield, RI 02879-3015

Phone

(401) 789-9758

Fax

(401) 789-9763

NPI assigned

May 2, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rgilardetti244670@direct.bostonchildrens.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Robert S Gilardetti, DMD, MD, Inc

  • Oral and Maxillofacial Surgery Clinic/Center
  • Wakefield, RI
  • NPI 1053584730
  NPD (past) Authorized official
• Guralnick, Rosenberg & Stempien, Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Wellesley Hills, MA
  • NPI 1912128703
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1013975952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 KINGSTOWN RD",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793015",
            "telephone_number": "401-789-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 KINGSTOWN RD",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793015",
            "telephone_number": "401-789-9758",
            "fax_number": "401-789-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILARDETTI",
        "first_name": "ROBERT",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MA",
            "license": "152305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "7057362",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lillian Merrill Gates, OTR/L
• Shennel Martina Gelin, MD
• Beverly J Genader, APRN
• Douglas Bruce Genereux, PA-C
• Bertram St Cyr Linard Gibbes, PHD PSYCHOLOGIST
• Chelsea Marie Gleeson, MS CCC-SLP
• Patrick Dean Glenn, PT
• Mercedes Marie Godin, PA-C
• Ana M Gonzalez-Dickenson, MSN, RN
• Svetlana Goretaya, LCSW

• Oral & Maxillofacial Surgery (D.M.D.) in Wakefield, RI
• Providers in Wakefield, RI by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.