NPIMap

Organization Active NPI

Yestermorrow PC

  • Family Medicine Physician
  • East Greenwich, RI
National Provider Identifier
1306088042
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD11488 Issued in RI
Legal business name
YESTERMORROW PC
Practice address
1050 Main St
Suite #18
East Greenwich, RI 02818-3161
Phone
(401) 886-9669
Fax
(401) 886-9779
NPI assigned
Mar 26, 2009
Last updated
Apr 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Authorized official

Name
Jennifer Piacitelli
Title
Office Manager
Phone
(401) 886-9669

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MD11488 RI Primary
Obesity Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QB0002X MD10390 RI

Addresses

Primary practice location

1050 Main St
Suite #18
East Greenwich, RI 02818-3161

Mailing address

1050 Main St
Suite #18
East Greenwich, RI 02818-3161
Phone (401) 886-9669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090825000594 RI Part B Supplier - Clinic/Group Practice 8921153024 Receives reassigned benefits from 9 practitioners
Practice locations: East Greenwich, RI

National Provider Directory

National Provider Directory

Locations

1050 Main St
Unit 18
East Greenwich, RI 02818
Phone (401) 886-0966

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1306088042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 MAIN ST",
            "address_2": "SUITE #18",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183161",
            "telephone_number": "401-886-9669",
            "fax_number": "401-886-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 MAIN ST",
            "address_2": "SUITE #18",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183161",
            "telephone_number": "401-886-9669",
            "fax_number": "401-886-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YESTERMORROW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-26",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "PIACITELLI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "401-886-9669"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD11488",
            "primary": true
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "RI",
            "license": "MD10390",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenwich, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.