Michelle Marie Roy, PA C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA01299 Issued in RI

Practice address

1672 S County TRL
East Greenwich, RI 02818

Phone

(401) 885-7546

Fax

(508) 885-6639

NPI assigned

Aug 19, 2006

Last updated

Sep 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NH, RI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mroy1@apderm.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dermatology Professionals Inc.

  • Dermatology Physician
  • East Greenwich, RI
  • NPI 1902040835
  Medicare reassignment
• Campbell Dermatology PA

  • Dermatology Physician
  • Dover, NH
  • NPI 1144376997
  Medicare reassignment
• Dermatology and Skin Health LLC

  • Dermatology Physician
  • Peabody, MA
  • NPI 1184341562
  NPD (past)
• Southcoast Physicians Group, Inc.

  • Family Medicine Physician
  • Fairhaven, MA
  • NPI 1336137629
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1437264892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 MAIN ST STE 302",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203301",
            "telephone_number": "978-371-7010",
            "fax_number": "978-371-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 S COUNTY TRL",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "02818",
            "telephone_number": "401-885-7546",
            "fax_number": "508-885-6639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "RI",
            "postal_code": "028425237",
            "country_code": "US",
            "telephone_number": "401-239-1800",
            "fax_number": "401-239-1801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "784 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038203412",
            "country_code": "US",
            "telephone_number": "603-742-5556",
            "fax_number": "603-742-8668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Elm St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034626",
            "country_code": "US",
            "telephone_number": "401-443-4992",
            "fax_number": "401-784-4902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROY",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA01157",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0230",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA854",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "RI",
            "license": "PA01299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Rosenbaum, M.D.
• Jillian Rosenfeld, PA-C
• Kimberly Marie Rossi, LCSW
• Elizabeth Round, APRN
• Kerry Rowe, MD
• Erin G Ruell, LMHC, LLC
• Karen Ann Rugg, RN
• Jessica Dair Russell, PA-C
• Ryan S Allen DO LLC
• Deborah Ann Ryan, N.P.

• Medical Physician Assistant in East Greenwich, RI
• Providers in East Greenwich, RI by specialty
• Medical Physician Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.