Frederick J. Jaccarino, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD06524 Issued in RI

Practice address

25 Wells St
Westerly, RI 02891-2922

Phone

(401) 596-6000

Fax

(410) 348-3710

NPI assigned

Sep 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10489/brand/1/csg/1/fhir/r4

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

• Seaport Clinic LLC

  dba Seaport Medical Center

  • Internal Medicine Physician
  • Mystic, CT
  • NPI 1881780773
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245334952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WELLS ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912922",
            "telephone_number": "401-596-6000",
            "fax_number": "410-348-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WELLS ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912922",
            "telephone_number": "401-596-6000",
            "fax_number": "410-348-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACCARINO",
        "first_name": "FREDERICK",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "RI",
            "license": "MD06524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth M Hyman, LICSW
• Inspire Physical Therapy and Wellness, LLC
• Interior Freedom Psychotherapy, LLC
• Inward Expressions, LLC
• Island Physical Therapy (Westerly Physical Therapy)
• James G. Stuart, D.O. LLC
• Jason T Cerro, LPC LLC
• Jessica J. Wolke Licsw Inc
• Delaynie Johnson, MS, RD, LDN
• Joseph P. Giancaspro, M.D., LTD

• Emergency Medicine Physician in Westerly, RI
• Providers in Westerly, RI by specialty
• Emergency Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.