John McGonigle MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JOHN MCGONIGLE MD LLC

Practice address

201 Waterman Ave
East Providence, RI 02914-3522

Phone

(401) 572-3300

Fax

(401) 572-3301

NPI assigned

Mar 15, 2021

Organization subpart

No

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

Authorized official

Name

John McGonigle, MDNPI 1982717807

Title

Physician/ Owner

Phone

(401) 572-3300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Dermott McGonigle, M.D.

  • Family Medicine Physician
  • East Providence, RI
  • NPI 1982717807
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1396320057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WATERMAN AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029143522",
            "telephone_number": "401-572-3300",
            "fax_number": "401-572-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WATERMAN AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029143522",
            "telephone_number": "401-572-3300",
            "fax_number": "401-572-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN MCGONIGLE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "MCGONIGLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICIAN/ OWNER",
        "authorized_official_telephone_number": "401-572-3300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Alexander Jaffe, M.D.
• Lisa Janicki, MS, CCC-A
• Margaret Mary Jarrell, RN
• Jeanine Le-Kreuzer, LMHC
• Derek Randall Jenkins, M.D.
• Antoinette Johnson, RN
• Kyle J Johnson, D.O.
• Susan Lynn Johnson, PT
• Alison Jost, LICSW
• Jacqueline M Joubert, RNP

• Family Medicine Physician in East Providence, RI
• Providers in East Providence, RI by specialty
• Family Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.