Frank P. Maggiacomo, D.O. Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DO 00383 Issued in RI

Legal business name

FRANK P. MAGGIACOMO, D.O. INC

Doing business as

Knightsville Internal Medicine

Practice address

1681 Cranston St
Suite D
Cranston, RI 02920-5000

Phone

(401) 946-8446

Fax

(401) 946-8340

NPI assigned

Oct 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Frank P Maggiacomo, D.O.NPI 1629075981

Title

President

Phone

(401) 946-8446

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Knightsville Internal Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 4

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

• Frank P Maggiacomo, D.O.

  • Internal Medicine Physician
  • Cranston, RI
  • NPI 1629075981
  Medicare reassignment Care Compare group NPD Authorized official
• Luann M Kelly, NP

  • Primary Care Nurse Practitioner
  • Cranston, RI
  • NPI 1497811707
  Medicare reassignment Care Compare group NPD
• Leonard Anthony Mannarelli, D.O.

  • Internal Medicine Physician
  • Providence, RI
  • NPI 1982770764
  NPD (past)
• Marissa C. Neis-Gimenez, MD

  • Internal Medicine Physician
  • Vacaville, CA
  • NPI 1033297924
  NPD (past)

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1124217674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1681 CRANSTON ST",
            "address_2": "SUITE D",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205000",
            "telephone_number": "401-946-8446",
            "fax_number": "401-946-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 CRANSTON ST",
            "address_2": "SUITE D",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205000",
            "telephone_number": "401-946-8446",
            "fax_number": "401-946-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK P. MAGGIACOMO, D.O. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "MAGGIACOMO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-946-8446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "DO 00383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "119003084",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FM27448",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knightsville Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joanne Lynne Fowler, PH.D.
• Susan Ann Franchetti, LICSW
• Alyssa R Francis, PHD
• Lynn Dana Francis
• Nadia Franco
• Kendra Frank
• Ellen Henrie Frankel, M.D.
• Fanta Freeman, CNM
• Stevie Lynn Fremin, DPT
• Nicole Frenette, BS., MS

• Internal Medicine Physician in Cranston, RI
• Providers in Cranston, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.