Active NPI
Federal Hill Podiatry Group
Doing business as Joseph A DeCesare DPM
- Foot & Ankle Surgery Podiatrist
- Providence, RI
National Provider Identifier
1194846154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- DPM00240
- Legal business name
- FEDERAL HILL PODIATRY GROUP
- Doing business as
- Joseph A DeCesare DPM
- Practice address
- 201 Broadway
Providence, RI 02903-3015 - Phone
- (401) 421-9167
- Fax
- (401) 421-9193
- NPI assigned
- Apr 3, 2007
- Last updated
- Aug 26, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph A Decesare, DPM
- Title
- Owner
- Phone
- (401) 421-9167
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | DPM00240 | RI | Primary |
Addresses
Primary practice location
201 Broadway
Providence, RI 02903-3015
Mailing address
201 Broadway
Providence, RI 02903-3015
Phone (401) 421-9167
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZE5188 | Other | RI | BCBS MA GROUP ID |
| 0137515002 | Other | RI | CIGNA |
| 0005779230 | Other | RI | AETNA |
| 2343 | Other | RI | NEIGHBORHOOD J A DECESARE |
| 0000007071 | Other | RI | BCBS RI GROUP ID |
| FH00185 | Medicaid | RI | |
| R003457 | Other | RI | WPS TRICARE GROUP ID |
| 0000007071 | Other | RI | BLUECHIP GROUP ID |
| 400515 | Other | RI | BLUECHIP J A DECESARE DP |
| 0357 | Other | RI | NEIGHBORHOOD GROUP ID |
Other names 1
- Joseph A DeCesare DPM
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
201 Broadway
Providence, RI 02903
Phone (401) 273-8855
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Providence, RI
- NPI 1104959832
-
- Chiropractor
- Warwick, RI
- NPI 1467439570
-
- Podiatrist
- Cranston, RI
- NPI 1346269875
-
- Massage Therapist
- Warwick, RI
- NPI 1164776886
-
- Podiatrist
- Phoenix, AZ
- NPI 1760489033
-
- Podiatrist
- Charlestown, MA
- NPI 1528049566
-
- Podiatrist
- Wellesley, MA
- NPI 1215941133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314316800000",
"number": "1194846154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 BROADWAY",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029033015",
"telephone_number": "401-421-9167",
"fax_number": "401-421-9193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 BROADWAY",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029033015",
"telephone_number": "401-421-9167",
"fax_number": "401-421-9193"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FEDERAL HILL PODIATRY GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2011-08-26",
"status": "A",
"authorized_official_last_name": "DECESARE",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "401-421-9167",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "RI",
"license": "DPM00240",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA GROUP ID",
"identifier": "ZE5188",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0137515002",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005779230",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD J A DECESARE",
"identifier": "2343",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS RI GROUP ID",
"identifier": "0000007071",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FH00185",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WPS TRICARE GROUP ID",
"identifier": "R003457",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHIP GROUP ID",
"identifier": "0000007071",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHIP J A DECESARE DP",
"identifier": "400515",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD GROUP ID",
"identifier": "0357",
"state": "RI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Joseph A DeCesare DPM",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.