Denis E. Moonan, MD, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD5654 Issued in RI

Legal business name

DENIS E. MOONAN, MD, INC

Practice address

1515 Smith Street
Suite N
North Providence, RI 02911-2947

Phone

(401) 353-0555

Fax

(401) 353-7079

NPI assigned

Jun 21, 2010

Last updated

Jun 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Denis Edmund Moonan Jr., MDNPI 1386626174

Title

President

Phone

(401) 353-0555

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Denis E Moonan Jr., M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • North Providence, RI
  • NPI 1386626174
  Authorized official Same address or phone

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1316268741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SMITH STREET",
            "address_2": "SUITE N",
            "city": "DENIS",
            "state": "RI",
            "postal_code": "029112947",
            "telephone_number": "401-353-0555",
            "fax_number": "401-353-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 SMITH STREET",
            "address_2": "SUITE N",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029112947",
            "telephone_number": "401-353-0555",
            "fax_number": "401-353-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENIS E. MOONAN, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "MOONAN",
        "authorized_official_first_name": "DENIS",
        "authorized_official_middle_name": "EDMUND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-353-0555",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD5654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Beth Deblois, PTA/L
• Michael Decastro
• Jared Richard Defond
• Jaime Deforest-Rosso, CRNA
• Isabella Maria Degrasse
• Jeana Depamphilis, PHARMD
• Melissa Ann Devlin, PA
• Elianna Diaz
• Guadalupe Diaz
• David A. Dicecco, M.D.

• Internal Medicine Physician in North Providence, RI
• Providers in North Providence, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.