Metacom Medical Associates Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

METACOM MEDICAL ASSOCIATES INC

Practice address

639 Metacom Ave
Warren, RI 02885

Phone

(401) 245-1500

Fax

(401) 247-2618

NPI assigned

Sep 26, 2006

Last updated

Mar 3, 2008By 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

Frank Amalfitano, MD

Title

Treasurer

Phone

(401) 245-1500

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1326149170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 METACOM AVE",
            "city": "WARREN",
            "state": "RI",
            "postal_code": "02885",
            "telephone_number": "401-245-1500",
            "fax_number": "401-247-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 METACOM AVE",
            "city": "WARREN",
            "state": "RI",
            "postal_code": "02885",
            "telephone_number": "401-245-1500",
            "fax_number": "401-247-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METACOM MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "AMALFITANO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "401-245-1500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9002628",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP GROUP NUMBER",
            "identifier": "204049",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maureen McDonnell
• William S. McGurk, PH.D.
• Jayne Medeiros, RN
• Stephen Michael Medeiros, PTA
• Samuel Noah Meisel, PHD
• Jane Mizrahi, LICSW
• Kaitlyn Morgan Fox
• Catherine Case Morris, NP
• Rose Murrin, LICSW
• Jennifer Newkirk, PHD

• Internal Medicine Physician in Warren, RI
• Providers in Warren, 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 Mar 3, 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.