East Side Pediatrics PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

EAST SIDE PEDIATRICS PC

Practice address

75 Newman Ave FL 1
Rumford, RI 02916-1945

Phone

(401) 453-0666

NPI assigned

Nov 21, 2007

Organization subpart

No

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

Authorized official

Name

William J Morocco, MD

Title

Owner

Phone

(508) 801-7817

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Xenia Catalina Fernandez, MD

  • Pediatrics Physician
  • Providence, RI
  • NPI 1063919785
  NPD (past)
• Elizabeth Anne Maranzano, MD

  • Pediatrics Physician
  • Lincoln, RI
  • NPI 1285606418
  NPD (past)
• Tracey Hitchen Myatt, M.D.

  • Pediatric Adolescent Medicine Physician
  • Providence, RI
  • NPI 1225078744
  NPD (past)
• Stephanie L Vogel, DO

  • Pediatrics Physician
  • Jamaica, NY
  • NPI 1396310819
  NPD (past)

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1285815993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 WATERMAN AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029111030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 NEWMAN AVE FL 1",
            "city": "RUMFORD",
            "state": "RI",
            "postal_code": "029161945",
            "telephone_number": "401-453-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SIDE PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "MOROCCO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-801-7817",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Sarah Deschene
• Christa A Dicasparro, LICSW
• Matthew David Dondey
• Elizabeth Antoinette Downing, LMHC
• Dr. Daniel Hochberger Inc.
• Kerry Ann Eastado
• John O. Eastman, DDS
• Empire Vision Center Inc (Vision World)
• Family Behavior Solutions, Inc
• Lisa Gerard Faulise, MS

• Pediatrics Physician in Rumford, RI
• Providers in Rumford, RI by specialty
• Pediatrics Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.

Verify at the official NPI Registry.