Marcella Rita Aquino, MD
Individual provider Active NPI Allergy & Immunology Physician · Providence, RI
NPI 1356563670 · NPPES record last updated Mar 25, 2026
Key facts
- NPI
- 1356563670
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- License
- MD16434 (RI)
- Practice address
- 593 Eddy St
Providence, RI 02903-4923 - Phone
- (401) 444-6195
- Fax
- (401) 444-6378
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Allergy/Immunology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Brown Medicine
Lifespan Physician Group Inc
Practice addresses (Care Compare)
375 Wampanoag TRL
Riverside, RI 02915-2232
Phone (401) 649-4010
Hospital & facility affiliations
- The Miriam Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081210000097 | NY | Practitioner - Allergy/Immunology | 4183785108 | Reassigns benefits to 1 organization |
| I20181203003112 | RI | Practitioner - Allergy/Immunology |
4183785108 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current |
Accepting new patients | |
| Brown Medicine | Current |
Accepting new patients | |
| Rhode Island Hospital | Current |
Accepting new patients | |
| Lifespan Physician Group, Inc. | Current |
Accepting new patients | |
| Brown Medicine | Current |
Accepting new patients | |
| New York University | Current |
Accepting new patients | |
| Rhode Island Hospital | Current |
Accepting new patients | |
| Lifespan Physician Group, Inc. | Current |
Accepting new patients | |
| Brown Medicine | Allergy & Immunology | Past | Accepting new patients |
| Winthrop Community Medical Affiliates PC | Past | Accepting new patients | |
| Rhode Island Hospital | Past | Accepting new patients |
Locations
1300 Franklin Ave
Ste Ul
Garden City, NY 11530
Phone (516) 663-2224
1300 Franklin Ave
Ste ML6
Garden City, NY 11530
Phone (516) 353-1900
340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064
120 Mineola Blvd
Ste 410
Mineola, NY 11501
Phone (516) 663-2097
120 Mineola Blvd
Ste 600
Mineola, NY 11501
Phone (516) 663-4525
1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
593 Eddy St
Lowr
Providence, RI 02903
Phone (401) 444-4471
15 La Salle Sq
Providence, RI 02903
593 Eddy St
Ste 5
Providence, RI 02903
Phone (401) 444-3996
593 Eddy St
Providence, RI 02903
375 Wampanoag Trl
Riverside, RI 02915
Phone (401) 649-4010
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EJFJAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | MD16434 | RI | Yes |
Addresses
Primary practice location
593 Eddy St
Providence, RI 02903-4923
Mailing address
15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 444-6779
Other practice location 1
375 Wampanoag Trl
Riverside, RI 02915-2232
Phone (401) 649-4240
Other providers in Providence, RI
- Apotheco Pharmacy Providence LLC
- Joshua Appelbaum
- Nicholina Appiah
- Jasmine Appleberry
- Applied Nutrition Center,LLC
- Ara-Providence Dialysis LLC
- Mariaelena Arana
- Tanuja Goulet Arany
- Elida Araujo-Picard
- Emily Lynne Araujo
All providers in Providence, RI · Allergy & Immunology Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.