Active NPI
Sebastian Trombatore, M.D.
- Surgery Physician
- Warwick, RI
National Provider Identifier
1316019292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- RI6797
- Practice address
- 300 Toll Gate Rd
Suite 305
Warwick, RI 02886 - Phone
- (401) 738-6611
- Fax
- (401) 738-0013
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | RI6797 | RI | Primary |
| Vascular Surgery Physician | 2086S0129X | RI6797 | RI |
Addresses
Primary practice location
300 Toll Gate Rd
Suite 305
Warwick, RI 02886
Mailing address
300 Toll Gate Rd
Suite 305
Warwick, RI 02886
Phone (401) 738-6611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9004732 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RI6797 | RI | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356048000000",
"number": "1316019292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 TOLL GATE RD",
"address_2": "SUITE 305",
"city": "WARWICK",
"state": "RI",
"postal_code": "02886",
"telephone_number": "401-738-6611",
"fax_number": "401-738-0013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 TOLL GATE RD",
"address_2": "SUITE 305",
"city": "WARWICK",
"state": "RI",
"postal_code": "02886",
"telephone_number": "401-738-6611",
"fax_number": "401-738-0013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROMBATORE",
"first_name": "SEBASTIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2012-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "RI",
"license": "RI6797",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "RI",
"license": "RI6797",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9004732",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.