Stephen J D'Amato MD PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD05562 Issued in RI

Legal business name

STEPHEN J D'AMATO MD PC

Practice address

211 Quaker LN
West Warwick, RI 02893-2151

Phone

(401) 270-7077

Fax

(401) 270-2781

NPI assigned

Oct 26, 2011

Last updated

May 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen J D'Amato, M.D.NPI 1144269986

Title

Physician/Owner

Phone

(401) 270-7077

Specialties & licenses 3

Addresses

Other identifiers 4

Locations

Practitioners 1

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.

• Stephen J D'Amato, M.D.

  • General Practice Physician
  • West Warwick, RI
  • NPI 1144269986
  Authorized official Same address or phone

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1205112935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 QUAKER LN",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028932151",
            "telephone_number": "401-270-7077",
            "fax_number": "401-270-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 QUAKER LN",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028932151",
            "telephone_number": "401-270-7077",
            "fax_number": "401-270-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN J D'AMATO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "D'AMATO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "401-270-7077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "RI",
            "license": "MD05562",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "RI",
            "license": "MD05562",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "RI",
            "license": "MD05562",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9001203",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "00002400188 03",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "0410540001",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCROSS",
            "identifier": "1203-0",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in West Warwick, RI
• Providers in West Warwick, RI by specialty
• General Practice Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.