Individual provider Active NPI

Robert B Marzilli Jr., DC

  • Chiropractor
  • Johnston, RI
National Provider Identifier
1194846071
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCP00391 Issued in RI
Practice address
1395 Atwood Ave
Suite 108a
Johnston, RI 02919-4929
Phone
(401) 270-9595
Fax
(401) 383-5155
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DCP00391 RI Primary

Addresses

Primary practice location

1395 Atwood Ave
Suite 108a
Johnston, RI 02919-4929

Mailing address

1395 Atwood Ave
Suite 108a
Johnston, RI 02919-4929
Phone (401) 270-9595

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

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194846071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 ATWOOD AVE",
            "address_2": "SUITE 108A",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029194929",
            "telephone_number": "401-270-9595",
            "fax_number": "401-383-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 ATWOOD AVE",
            "address_2": "SUITE 108A",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029194929",
            "telephone_number": "401-270-9595",
            "fax_number": "401-383-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZILLI",
        "first_name": "ROBERT",
        "middle_name": "B",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.