Individual provider Active NPI

Matthew J Rogalski, M.D.

  • Addiction Medicine (Preventive Medicine) Physician
  • Woonsocket, RI
National Provider Identifier
1295998078
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
License
MD13007 Issued in RI
Practice address
1625 Diamond Hill Rd
Woonsocket, RI 02895-1771
Phone
(401) 762-1511
Fax
(401) 762-1609
NPI assigned
Jul 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 251925 MA
Obstetrics & Gynecology Physician 207V00000X MD13007 RI
Addiction Psychiatry Physician 2084P0802X 251925 MA
Addiction Medicine (Preventive Medicine) Physician 2083A0300X MD13007 RI Primary

Addresses

Primary practice location

1625 Diamond Hill Rd
Woonsocket, RI 02895-1771

Mailing address

26 Jasons Grant Dr
Cumberland, RI 02864-1649
Phone (401) 441-9920

Other practice location 1

22 Front St
Fall River, MA 02721-4302
Phone (508) 676-1307 ext. 111

Other practice location 2

66 Pavilion Ave
Providence, RI 02905-1522
Phone (401) 461-9110

Other identifiers 1

IdentifierTypeStateIssuer
110088093MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 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
I20091221000106 RI Practitioner - Obstetrics/Gynecology 7517007735 Reassigns benefits to 1 organization
I20140618002111 MA Practitioner - Addiction MedicinePractitioner - Obstetrics/Gynecology 7517007735 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
251925MAMDObstetrics & Gynecology Physician
MD13007RIMDAddiction Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services Landmark LLC Obstetrics & Gynecology CurrentSince Oct 1, 2019 Accepting new patients
Psychplus Medical Associates, PLLC CurrentSince Feb 25, 2026 Accepting new patients
Psychiatry of Texas PLLC CurrentSince Feb 25, 2026 Accepting new patients
Habit Opco, LLC Past Accepting new patients
R.I.S.a.T., LLC Past Accepting new patients

Locations

20 East St
Hanover, MA 02339
Phone (781) 826-1150

20 East St
Ste 20
Hanover, MA 02339
Phone (781) 829-8900

206 Cass Ave
Woonsocket, RI 02895
Phone (401) 597-5070

115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701

115 Cass Ave
#2
Woonsocket, RI 02895
Phone (401) 597-5070

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1295998078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 JASONS GRANT DR",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028641649",
            "telephone_number": "401-441-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 DIAMOND HILL RD",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028951771",
            "telephone_number": "401-762-1511",
            "fax_number": "401-762-1609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Front St",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027214302",
            "country_code": "US",
            "telephone_number": "508-676-1307 x111",
            "fax_number": "508-674-4493",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "66 Pavilion Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029051522",
            "country_code": "US",
            "telephone_number": "401-461-9110",
            "fax_number": "401-461-9194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGALSKI",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "251925",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "RI",
            "license": "MD13007",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "MA",
            "license": "251925",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "RI",
            "license": "MD13007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110088093",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

Verify at the official NPI Registry.