NPIMap

Individual provider Active NPI

Joseph V Centofanti

  • Specialist
  • Cranston, RI
National Provider Identifier
1154360543
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD08551 Issued in RI
Practice address
725 Reservoir Ave
Suite 308
Cranston, RI 02910-4448
Phone
(401) 944-9559
Fax
(401) 944-7501
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD08551 RI Primary

Addresses

Primary practice location

725 Reservoir Ave
Suite 308
Cranston, RI 02910-4448

Mailing address

725 Reservoir Ave
Suite 308
Cranston, RI 02910-4448
Phone (401) 944-9559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050610000735 RI Practitioner - Neurology 8224072285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Neurology, Inc.Group PAC ID 2264602507, 2 clinicians

Practice addresses (Care Compare)

725 Reservoir Ave
Suite 308
Cranston, RI 02910-4452
Phone (401) 944-9559

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.99 of 100Reported as group
Quality
56.69
Improvement activities
40
Cost
84.38

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Neurology, Inc. Specialist CurrentSince Jun 30, 2011 Accepting new patients
University Neurology Associates, LLC Specialist PastSince Sep 28, 2006 Accepting new patients

Locations

725 Reservoir Ave
Ste 308
Cranston, RI 02910
Phone (401) 944-9559

Organizations & group practices 2

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 9

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

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1154360543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE",
            "address_2": "SUITE 308",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104448",
            "telephone_number": "401-944-9559",
            "fax_number": "401-944-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE",
            "address_2": "SUITE 308",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104448",
            "telephone_number": "401-944-9559",
            "fax_number": "401-944-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTOFANTI",
        "first_name": "JOSEPH",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "RI",
            "license": "MD08551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.