Active NPI
Agape Primary Care and Laser Center LLC
- Internal Medicine Physician
- Providence, RI
National Provider Identifier
1235305871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD08003
- Legal business name
- AGAPE PRIMARY CARE AND LASER CENTER LLC
- Practice address
- 1195 N Main St
Providence, RI 02904-1824 - Phone
- (401) 654-4433
- NPI assigned
- May 4, 2008
- 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
- Frank Michael D'Alessandro, M.D.
- Title
- Owner/Director
- Phone
- (401) 654-4433
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD10894 | RI | |
| Internal Medicine Physician | 207R00000X | MD08003 | RI | Primary |
Addresses
Primary practice location
1195 N Main St
Providence, RI 02904-1824
Mailing address
1195 N Main St
Providence, RI 02904-1824
Phone (401) 654-4433
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- East Greenwich, RI
- NPI 1225018955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212451200000",
"number": "1235305871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1195 N MAIN ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029041824",
"telephone_number": "401-654-4433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1195 N MAIN ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029041824",
"telephone_number": "401-654-4433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGAPE PRIMARY CARE AND LASER CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-04",
"last_updated": "2008-06-03",
"status": "A",
"authorized_official_last_name": "D'ALESSANDRO",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "401-654-4433",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": "RI",
"license": "MD10894",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD08003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.