Individual provider Active NPI

John F Zwetchkenbaum, M.D.

  • Allergy Physician
  • Providence, RI
National Provider Identifier
1124027552
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
MD07704 Issued in RI
Practice address
1056 Hope St
Providence, RI 02906-5026
Phone
(401) 751-1235
Fax
(401) 751-4744
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Boston University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asthma and Allergy Physicians of Rhode Island Inc 3 clinicians

Practice addresses (Care Compare)

470 Toll Gate Rd
Warwick, RI 02886-2876
Phone (401) 751-1235

Hospital & facility affiliations

  • Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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

Enrollment IDStateProvider typePAC IDDetails
I20071205000170 RI Practitioner - Allergy/Immunology 2567350580 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD07704RIMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma & Allergy Physicians of Rhode Island Inc Allergy CurrentSince Sep 1, 2007 Accepting new patients

Locations

2 Wake Robin Rd
Lincoln, RI 02865
Phone (401) 333-1747

470 Toll Gate Rd
Ste 203
Warwick, RI 02886
Phone (401) 681-4960

470 Toll Gate Rd
Warwick, RI 02886
Phone (401) 490-2130

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBGCAA
  • Direct secure messaging: jzwerchkenbaum@kent.cernerdirect.carene.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X MD07704 RI Primary

Addresses

NPPES NPI Registry

Primary practice location

1056 Hope St
Providence, RI 02906-5026

Mailing address

1056 Hope St
Providence, RI 02906-5026
Phone (401) 751-1235

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
9002909MedicaidRI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 21, 2008.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1124027552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 HOPE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065026",
            "telephone_number": "401-751-1235",
            "fax_number": "401-751-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 HOPE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065026",
            "telephone_number": "401-751-1235",
            "fax_number": "401-751-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWETCHKENBAUM",
        "first_name": "JOHN",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "RI",
            "license": "MD07704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9002909",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.