Individual provider Active NPI

Charles E Dufromont II, PA-C

  • Physician Assistant
  • North Smithfield, RI
National Provider Identifier
1023117447
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01904 Issued in RI
Practice address
594 Great Rd Ste 102a
North Smithfield, RI 02896-6810
Phone
(401) 768-3400
Fax
(401) 768-3402
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA451 MA
Physician Assistant 363A00000X PA01904 RI Primary

Addresses

Primary practice location

594 Great Rd Ste 102a
North Smithfield, RI 02896-6810

Mailing address

594 Great Rd Ste 102a
North Smithfield, RI 02896-6810

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100723000022 MA Practitioner - Physician Assistant 9537291778 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
451MAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Urgent Care Center, Inc. Physician Assistant CurrentSince Jul 7, 2026 Accepting new patients
Patriot Urgent Care Professionals PC CurrentSince Feb 1, 2025 Accepting new patients
Patriot Urgent Care Professionals PC CurrentSince Feb 1, 2025 Accepting new patients

Locations

154 Great Rd
Bedford, MA 01730
Phone (781) 430-8161

1030 Main St
Waltham, MA 02451
Phone (781) 894-6900

1019 Trapelo Rd
Waltham, MA 02452
Phone (781) 736-1800

2 Wake Robin Rd
Ste 106
Lincoln, RI 02865
Phone (401) 333-9595

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1023117447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 GREAT RD STE 102A",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028966810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 GREAT RD STE 102A",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028966810",
            "telephone_number": "401-768-3400",
            "fax_number": "401-768-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFROMONT",
        "first_name": "CHARLES",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA451",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA01904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Smithfield, RI

Sources for this page

Verify at the official NPI Registry.