Asthma & Allergy Physicians of Rhode Island Inc
Organization Active NPI Allergy Physician · Warwick, RI
NPI 1508992694 · NPPES record last updated Oct 4, 2019
Key facts
- NPI
- 1508992694
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Allergy Physician 207KA0200X
- License
- MD07704 (RI)
- Legal business name
- ASTHMA & ALLERGY PHYSICIANS OF RHODE ISLAND INC
- Practice address
- 470 Toll Gate Rd Ste 203
Warwick, RI 02886-2741 - Phone
- (401) 751-1235
- Fax
- (401) 751-4744
- NPI assigned
- Feb 26, 2007
- Organization subpart
- No
Authorized official
- Name
- John F Zwetchkenbaum, MD
- Title
- President
- Phone
- (401) 751-4744
Practitioners 7
-
Roodolph Joseph, PA
-
Vikram Malik, MD
-
John F Zwetchkenbaum, M.D.
-
Melissa Ann Greenberg, MPAS, PA-C
-
Amanda Hovey Matteson, PA-C
-
Toby Fingeroth Weiser, PA-C
-
John P Bas, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071205000407 | RI | Part B Supplier - Clinic/Group Practice | 1951490481 |
Receives reassigned benefits from 6 practitioners Practice locations: Warwick, RI; Warren, RI; Johnston, RI; Lincoln, RI |
National Provider Directory
Locations
375 Wampanoag Trl
Ste 405
Riverside, RI 02915
375 Wampanoag Trl
Ste 405B
Riverside, RI 02915
Phone (401) 526-0100
470 Toll Gate Rd
Ste 203
Warwick, RI 02886
Phone (401) 681-4960
470 Toll Gate Rd
Ste 201
Warwick, RI 02886
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FBGCAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician |
207KA0200X | MD07704 | RI | Yes |
Addresses
Primary practice location
470 Toll Gate Rd Ste 203
Warwick, RI 02886-2741
Mailing address
1056 Hope St
Providence, RI 02906-5026
Phone (401) 751-1235
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA43354 | Medicaid | RI |
Other providers in Warwick, RI
- Assisted Daily Living, Inc
- Associated Medical Inc
- Associates for Adolescent and Family Psychotherapy Inc.
- Associates in Counseling LLC
- Associates in Primary Care Medicine, Inc.
- Atc Therapy LLC
- Athena Rhode Island Hospice LLC
- Atlantic Chiropractic & Rehab., Inc.
- Atlantic Registered Dietician Solutions LLC
- Fereshteh Attarjafari
All providers in Warwick, RI · Allergy Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.