Michael M Palatucci, PAC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

PA00260 Issued in RI

Practice address

1637 Mineral Spring Ave
Suite 215
North Providence, RI 02904-4055

Phone

(401) 353-7330

Fax

(401) 354-4760

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1396806352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 MINERAL SPRING AVE",
            "address_2": "SUITE 215",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044055",
            "telephone_number": "401-353-7330",
            "fax_number": "401-354-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 MINERAL SPRING AVE",
            "address_2": "SUITE 215",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044055",
            "telephone_number": "401-353-7330",
            "fax_number": "401-354-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALATUCCI",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "RI",
            "license": "PA00260",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA00260",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "238474",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9023720",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "408945",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jad Osmanski, O.D.
• Joseph F Osmanski, O.D.
• Our Lady of Fatima
• Oyeniran Oyewale
• Carlene J Page, APRN PCNS
• Lauren Nicole Palmisciano, DOCTOR OF PHARMACY
• Donna Marie Palumbo, LICSW
• Robert Anthony Paolella, M.D.
• Gary D Paparo I, DMD
• David Richard Papazian

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.