Individual provider Active NPI

Richard J Goccia, M.D.

  • Family Medicine Physician
  • Coventry, RI
National Provider Identifier
1154419125
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD12480 Issued in RI
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

Updated by the provider on Jun 5, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
RG69850MedicaidRI

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

LicenseStateTypeSpecialty
028404CTMDEmergency 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.

Verify at the official NPI Registry.