Active NPI
Joseph R. Gaeta, MD
- Cardiovascular Disease Physician
- Providence, RI
National Provider Identifier
1538200878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD 3525
- Legal business name
- JOSEPH R. GAETA, MD
- Practice address
- 235 Plain St
Suite 307
Providence, RI 02905-3240 - Phone
- (401) 521-4086
- Fax
- (401) 453-1528
- NPI assigned
- Feb 9, 2007
- 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
- Mrs. Donna A Darveau
- Title
- Office Manager
- Phone
- (401) 521-4086
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD 3525 | RI | Primary |
Addresses
Primary practice location
235 Plain St
Suite 307
Providence, RI 02905-3240
Mailing address
235 Plain St
Suite 307
Providence, RI 02905-3240
Phone (401) 521-4086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9025248 | Medicaid | RI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Providence, RI
- NPI 1578538377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191542400000",
"number": "1538200878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 PLAIN ST",
"address_2": "SUITE 307",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029053240",
"telephone_number": "401-521-4086",
"fax_number": "401-453-1528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 PLAIN ST",
"address_2": "SUITE 307",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029053240",
"telephone_number": "401-521-4086",
"fax_number": "401-453-1528"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH R. GAETA, MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-09",
"last_updated": "2007-10-05",
"status": "A",
"authorized_official_last_name": "DARVEAU",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "401-521-4086",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "RI",
"license": "MD 3525",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9025248",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.