Individual provider Active NPI

Mark Robert Zonfrillo, MD

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • Newton, MA
National Provider Identifier
1235180852
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Emergency Medicine) PhysicianTaxonomy code 207PP0204X
License
1024725 Issued in MA
Practice address
2014 Washington St
Newton, MA 02462-1699
Phone
(617) 243-6000
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X MD14967 RI
Pediatrics Physician 208000000X MD14967 RI
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X 1024725 MA Primary
Pediatrics Physician 208000000X 043923 CT
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X MD14967 RI

Addresses

Primary practice location

2014 Washington St
Newton, MA 02462-1699

Mailing address

65 Carrs Pond Rd
West Greenwich, RI 02817-2548

Other practice location 1

365 Montauk Ave
New London, CT 06320-4769
Phone (860) 442-0711

Other identifiers 3

IdentifierTypeStateIssuer
1235180852MedicaidRI
U400222345OtherRIMEDICAR-NGS
110102928AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI, MA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20060601000160 CT Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 7214948470 Reassigns benefits to 1 organization
I20150625000486 RI Practitioner - Pediatric Medicine 7214948470 Reassigns benefits to 1 organization
I20250728000317 MA Practitioner - Pediatric Medicine 7214948470 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043923CTMDPediatrics Physician
MD14967RIMDPediatric Emergency Medicine (Pediatrics) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. Pediatric Emergency Medicine CurrentSince Dec 1, 2020 Accepting new patients
Lawrence and Memorial Hospital, Inc. CurrentSince Jul 8, 2025 Accepting new patients
Newton Wellesley Hospital Current Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Dec 1, 2020 Accepting new patients
Lawrence and Memorial Hospital, Inc. Pediatrics CurrentSince Jul 8, 2025 Accepting new patients
Mass General Brigham Medical Group, Inc. CurrentSince Aug 1, 2025 Accepting new patients

Locations

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

47 Middlesex Tpke
Burlington, MA 01803
Phone (857) 282-8100

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-2063

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

593 Eddy St
#2
Providence, RI 02903
Phone (401) 519-1604

593 Eddy St
Providence, RI 02903

Interoperability endpoints

  • Direct secure messaging: zonfrillo.mark.nwh@direct.partners.masshiway.net
  • Direct secure messaging: mzonfrillo718045@direct.ynhh.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1235180852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CARRS POND RD",
            "city": "WEST GREENWICH",
            "state": "RI",
            "postal_code": "028172548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 WASHINGTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621699",
            "telephone_number": "617-243-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "365 Montauk Ave",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "CT",
            "postal_code": "063204769",
            "country_code": "US",
            "telephone_number": "860-442-0711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZONFRILLO",
        "first_name": "MARK",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "RI",
            "license": "MD14967",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD14967",
            "primary": false
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "MA",
            "license": "1024725",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "043923",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "RI",
            "license": "MD14967",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235180852",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAR-NGS",
            "identifier": "U400222345",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110102928A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.