Active NPI
Mark Robert Zonfrillo, MD
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Newton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- License
- 1024725
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235180852 | Medicaid | RI | |
| U400222345 | Other | RI | MEDICAR-NGS |
| 110102928A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043923 | CT | MD | Pediatrics Physician |
| MD14967 | RI | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group, Inc. | Pediatric Emergency Medicine | Current | Accepting new patients |
| Lawrence and Memorial Hospital, Inc. | Current | Accepting new patients | |
| Newton Wellesley Hospital | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Lawrence and Memorial Hospital, Inc. | Pediatrics | Current | Accepting new patients |
| Mass General Brigham Medical Group, Inc. | Current | 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
- zonfrillo.mark.nwh@direct.partners.masshiway.net
- 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.
-
- General Acute Care Hospital
- New London, CT
- NPI 1073530879
Pediatrics
-
- General Practice Physician
- Providence, RI
- NPI 1407116643
-
- General Acute Care Hospital
- Newton, MA
- NPI 1952845521
-
- Community/Retail Pharmacy
- New London, CT
- NPI 1184402331
-
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
Pediatric Emergency Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.