Organization Active NPI

Thomas David Puleo, MD, LLC

  • Pediatrics Physician
  • Cranston, RI
National Provider Identifier
1164599858
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD11592 Issued in RI
Legal business name
THOMAS DAVID PULEO, MD, LLC
Practice address
1220 Pontiac Ave
Suite 302
Cranston, RI 02920-4456
Phone
(401) 944-4411
Fax
(401) 944-4412
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas D Puleo, MDNPI 1073523288
Title
Member
Phone
(401) 944-4411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X MD11592 RI Primary

Addresses

Primary practice location

1220 Pontiac Ave
Suite 302
Cranston, RI 02920-4456

Mailing address

1220 Pontiac Ave
Suite 302
Cranston, RI 02920-4456
Phone (401) 944-4411

National Provider Directory

National Provider Directory

Locations

1220 Pontiac Ave
Ste 302
Cranston, RI 02920
Phone (401) 944-4411

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164599858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 PONTIAC AVE",
            "address_2": "SUITE 302",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204456",
            "telephone_number": "401-944-4411",
            "fax_number": "401-944-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 PONTIAC AVE",
            "address_2": "SUITE 302",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204456",
            "telephone_number": "401-944-4411",
            "fax_number": "401-944-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS DAVID PULEO, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PULEO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "401-944-4411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD11592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.