Organization Active NPI

Concilio Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Lincoln, RI
National Provider Identifier
1063629129
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
MD08172 Issued in RI
Legal business name
CONCILIO PEDIATRICS
Practice address
132 Old River Rd
Suite 203
Lincoln, RI 02865-1161
Phone
(401) 334-2949
Fax
(401) 334-0867
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Amalia Concilio
Title
Manager
Phone
(401) 334-2949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X MD08172 RI Primary

Addresses

Primary practice location

132 Old River Rd
Suite 203
Lincoln, RI 02865-1161

Mailing address

132 Old River Rd
Suite 203
Lincoln, RI 02865-1161
Phone (401) 334-2949

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063629129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 OLD RIVER RD",
            "address_2": "SUITE 203",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651161",
            "telephone_number": "401-334-2949",
            "fax_number": "401-334-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 OLD RIVER RD",
            "address_2": "SUITE 203",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651161",
            "telephone_number": "401-334-2949",
            "fax_number": "401-334-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCILIO PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONCILIO",
        "authorized_official_first_name": "AMALIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "401-334-2949",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "RI",
            "license": "MD08172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.