Active NPI
Louis a Fragola Jr MD LTD
- Dermatology Physician
- East Providence, RI
National Provider Identifier
1497885719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- RI4166
- Legal business name
- LOUIS A FRAGOLA JR MD LTD
- Practice address
- 1525 Wampanoag Trail
East Providence, RI 02915 - Phone
- (401) 433-4851
- Fax
- (401) 433-3650
- NPI assigned
- Mar 6, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Louis A Fragola Jr., MD
- Title
- President
- Phone
- (401) 433-4851
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | RI4166 | RI | Primary |
Addresses
Primary practice location
1525 Wampanoag Trail
East Providence, RI 02915
Mailing address
1525 Wampanoag Trail
East Providence, RI 02915
Phone (401) 433-4851
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000823 | Other | RI | BLUE CHIP |
| 9000529 | Medicaid | RI | |
| 5292 | Other | RI | BLUE CROSS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1497885719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 WAMPANOAG TRAIL",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "02915",
"telephone_number": "401-433-4851",
"fax_number": "401-433-3650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 WAMPANOAG TRAIL",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "02915",
"telephone_number": "401-433-4851",
"fax_number": "401-433-3650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOUIS A FRAGOLA JR MD LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FRAGOLA",
"authorized_official_first_name": "LOUIS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "401-433-4851",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "RI",
"license": "RI4166",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "000823",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000529",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "5292",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Providence, 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.