Individual provider Active NPI

Elizabeth Anne Maranzano, MD

  • Pediatrics Physician
  • Lincoln, RI
National Provider Identifier
1285606418
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
10101 Issued in RI
Practice address
6 Blackstone Valley PL
Suite 306B
Lincoln, RI 02865-1179
Phone
(401) 334-4021
Fax
(401) 334-4886
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 10101 RI Primary

Addresses

Primary practice location

6 Blackstone Valley PL
Suite 306B
Lincoln, RI 02865-1179

Mailing address

6 Blackstone Valley PL
Suite 306B
Lincoln, RI 02865-1179
Phone (401) 334-4021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 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
I20220318001948 MA Practitioner - Pediatric Medicine 5991190464 Reassigns benefits to 1 organization
I20220318002146 RI Practitioner - Pediatric Medicine 5991190464 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10101RIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. CurrentSince Apr 1, 2022 Accepting new patients
Lifespan Physician Group, Inc. Pediatrics CurrentSince Apr 1, 2022 Accepting new patients
East Side Pediatrics PC Pediatrics Past Accepting new patients

Locations

152 Emory St
Attleboro, MA 02703
Phone (508) 222-6409

465 S Washington St
Unit 4
North Attleboro, MA 02760
Phone (508) 699-8444

6 Blackstone Valley Pl
Ste 306B
Lincoln, RI 02865
Phone (401) 331-4021

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

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

285 Governor St
Providence, RI 02906
Phone (401) 231-0500

Interoperability endpoints

  • Direct secure messaging: emaranzano@wih.cernerdirect.carene.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285606418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL",
            "address_2": "SUITE 306B",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651179",
            "telephone_number": "401-334-4021",
            "fax_number": "401-334-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL",
            "address_2": "SUITE 306B",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651179",
            "telephone_number": "401-334-4021",
            "fax_number": "401-334-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARANZANO",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "10101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

Verify at the official NPI Registry.