Active NPI
Stephen J D'Amato, M.D.
- General Practice Physician
- West Warwick, RI
National Provider Identifier
1144269986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD05562
- Practice address
- 211 Quaker LN
Suite 100
West Warwick, RI 02893-2151 - Phone
- (401) 270-7077
- Fax
- (401) 270-2781
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD05562 | RI | Primary |
| Pain Medicine Physician | 208VP0000X | MD05562 | RI | |
| Emergency Medicine Physician | 207P00000X | MD05562 | RI |
Addresses
Primary practice location
211 Quaker LN
Suite 100
West Warwick, RI 02893-2151
Mailing address
211 Quaker LN
Suite 100
West Warwick, RI 02893-2151
Phone (401) 270-7077
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1203-0 | Other | RI | BCROSS |
| 9001203 | Medicaid | RI | |
| 0410540001 | Other | RI | DME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392076800000",
"number": "1144269986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 QUAKER LN",
"address_2": "SUITE 100",
"city": "WEST WARWICK",
"state": "RI",
"postal_code": "028932151",
"telephone_number": "401-270-7077",
"fax_number": "401-270-2781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 QUAKER LN",
"address_2": "SUITE 100",
"city": "WEST WARWICK",
"state": "RI",
"postal_code": "028932151",
"telephone_number": "401-270-7077",
"fax_number": "401-270-2781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'AMATO",
"first_name": "STEPHEN",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2014-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "RI",
"license": "MD05562",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "RI",
"license": "MD05562",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "RI",
"license": "MD05562",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCROSS",
"identifier": "1203-0",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9001203",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME",
"identifier": "0410540001",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.