Organization Active NPI

Ralph a Digiacomo MD PC

  • Rheumatology Physician
  • Warwick, RI
National Provider Identifier
1396794996
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
6546 Issued in RI
Legal business name
RALPH A DIGIACOMO MD PC
Practice address
215 Toll Gate Road
Suite 303
Warwick, RI 02886
Phone
(401) 738-1576
Fax
(401) 732-8846
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ralph Digiacomo
Title
President
Phone
(401) 738-1576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 6546 RI Primary

Addresses

Primary practice location

215 Toll Gate Road
Suite 303
Warwick, RI 02886

Mailing address

215 Toll Gate Road
Suite 303
Warwick, RI 02886
Phone (401) 738-1576

Other identifiers 1

IdentifierTypeStateIssuer
0004943MedicaidRI

National Provider Directory

National Provider Directory

Locations

215 Toll Gate Rd
Ste 303
Warwick, RI 02886
Phone (401) 738-1576

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396794996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 TOLL GATE ROAD",
            "address_2": "SUITE 303",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "02886",
            "telephone_number": "401-738-1576",
            "fax_number": "401-732-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 TOLL GATE ROAD",
            "address_2": "SUITE 303",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "02886",
            "telephone_number": "401-738-1576",
            "fax_number": "401-732-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH A DIGIACOMO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIGIACOMO",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-738-1576"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "RI",
            "license": "6546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004943",
            "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 Aug 22, 2020; 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.