Active NPI
Concilio Pediatrics
- Pediatric Adolescent Medicine Physician
- Lincoln, RI
National Provider Identifier
1063629129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- MD08172
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 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 DirectoryNPI 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.