Matthew K. Rocheleau, DO LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MATTHEW K. ROCHELEAU, DO LLC

Practice address

215 Toll Gate Rd Ste 306
Warwick, RI 02886-4462

Phone

(401) 373-0820

NPI assigned

Jul 18, 2023

Organization subpart

No

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

Authorized official

Name

Matthew Rocheleau, DONPI 1093342321

Title

Owner

Phone

(401) 373-0820

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Kirk Rocheleau

  • Internal Medicine Physician
  • Warwick, RI
  • NPI 1093342321
  Medicare reassignment NPD Authorized official
• Kristen Rose Dimarco, DO

  • Family Medicine Physician
  • Warwick, RI
  • NPI 1487725743
  NPD
• Michael Richard Martin, D.O.

  • Internal Medicine Physician
  • Warwick, RI
  • NPI 1376607168
  NPD

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1023797826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 TOLL GATE RD STE 306",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864462",
            "telephone_number": "401-373-0820",
            "fax_number": "401-373-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 TOLL GATE RD STE 306",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864462",
            "telephone_number": "401-373-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW K. ROCHELEAU, DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "ROCHELEAU",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-373-0820",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allegra Bernardo Matook, PA-C
• Tatiana Matos, MT
• Alla Matsievskaya, M.D.
• Adam C Matson, MD
• Andrew Matson, MD
• Brianna Lee Mattis
• Katerina Elana Mauricio, RN
• Maxi Drug South LP
• Maxi Drug South LP
• Maxi Drug South LP

• Primary Care Clinic/Center in Warwick, RI
• Providers in Warwick, RI by specialty
• Primary Care Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.