Individual provider Active NPI

Joseph Blaise Guarnaccia, M.D.

  • Neurology Physician
  • Derby, CT
National Provider Identifier
1235164427
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
031179 Issued in CT
Practice address
350 Seymour Ave # 1C
Derby, CT 06418-1336
Phone
(203) 732-1290
Fax
(203) 732-1299
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD10454 RI
Neurology Physician 2084N0400X 031179 CT Primary

Addresses

Primary practice location

350 Seymour Ave # 1C
Derby, CT 06418-1336

Mailing address

137 Cold Spring St
New Haven, CT 06511-2205
Phone (203) 676-7436

Other practice location 1

15 Health Ln
Warwick, RI 02886-2879
Phone (401) 736-4626

Other identifiers 1

IdentifierTypeStateIssuer
001311795MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081208000729 RI Practitioner - NeurologyPractitioner - Psychiatry 0244391357 Reassigns benefits to 1 organization
I20090729000163 CT Practitioner - Neurology 0244391357 Practice locations: Derby, CT

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Psychiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

Hospital & facility affiliations

  • Griffin Hospital Hospital, Derby, CT, CCN 070031
  • Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • Women & Infants Hospital of Rhode Island Hospital, Providence, RI, CCN 410010
  • South County Hospital Inc Hospital, Wakefield, RI, CCN 410008
  • Gaylord Hospital Inc Long-term care hospital, Wallingford, CT, CCN 072003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1045NRIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC CurrentSince Oct 1, 2016 Accepting new patients
Affinity Physicians LLC. Neurology CurrentSince Oct 1, 2016 Accepting new patients

Locations

1351 S County Trl
Ste 200
East Greenwich, RI 02818
Phone (401) 455-6206

1351 S County Trl
Bldg 2
East Greenwich, RI 02818
Phone (401) 884-2008

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

2191 Post Rd
Warwick, RI 02886
Phone (401) 351-0515

Interoperability endpoints

  • Direct secure messaging: jguarnaccia@kent.cernerdirect.carene.org
  • Direct secure messaging: jguarnaccia3297@direct.ynhh.org
  • Direct secure messaging: jguarnaccia@direct.carene.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1235164427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 COLD SPRING ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112205",
            "telephone_number": "203-676-7436",
            "fax_number": "203-732-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SEYMOUR AVE # 1C",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181336",
            "telephone_number": "203-732-1290",
            "fax_number": "203-732-1299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Health Ln",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028862879",
            "country_code": "US",
            "telephone_number": "401-736-4626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUARNACCIA",
        "first_name": "JOSEPH",
        "middle_name": "BLAISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "RI",
            "license": "MD10454",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "031179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001311795",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, CT

Sources for this page

Verify at the official NPI Registry.