Active NPI
Richard J Goccia, M.D.
- Family Medicine Physician
- Coventry, RI
National Provider Identifier
1154419125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD12480
- Practice address
- 982 Tiogue Ave
Coventry, RI 02816-6167 - Phone
- (401) 821-6800
- Fax
- (401) 821-8513
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 028404 | CT | |
| Family Medicine Physician | 207Q00000X | MD12480 | RI | Primary |
Addresses
Primary practice location
982 Tiogue Ave
Coventry, RI 02816-6167
Mailing address
982 Tiogue Ave
Coventry, RI 02816-6167
Phone (401) 821-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RG69850 | Medicaid | RI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028404 | CT | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212624000000",
"number": "1154419125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "982 TIOGUE AVE",
"city": "COVENTRY",
"state": "RI",
"postal_code": "028166167",
"telephone_number": "401-821-6800",
"fax_number": "401-821-8513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "982 TIOGUE AVE",
"city": "COVENTRY",
"state": "RI",
"postal_code": "028166167",
"telephone_number": "401-821-6800",
"fax_number": "401-821-8513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOCCIA",
"first_name": "RICHARD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2008-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CT",
"license": "028404",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "RI",
"license": "MD12480",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RG69850",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coventry, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.