NPIMap

Organization Active NPI

Melvin J Mancini DPM

  • Foot & Ankle Surgery Podiatrist
  • Pawtucket, RI
National Provider Identifier
1609056712
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM00204 Issued in RI
Legal business name
MELVIN J MANCINI DPM
Practice address
345 Armistice Blvd
Pawtucket, RI 02861-2429
Phone
(401) 725-5576
Fax
(401) 725-2640
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Authorized official

Name
Dr. Melvin Joseph Mancini, D.P.M.
Title
Owner
Phone
(401) 725-5576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X DPM00204 RI Primary

Addresses

Primary practice location

345 Armistice Blvd
Pawtucket, RI 02861-2429

Mailing address

345 Armistice Blvd
Pawtucket, RI 02861-2429
Phone (401) 725-5576

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1609056712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 ARMISTICE BLVD",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028612429",
            "telephone_number": "401-725-5576",
            "fax_number": "401-725-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 ARMISTICE BLVD",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028612429",
            "telephone_number": "401-725-5576",
            "fax_number": "401-725-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVIN J MANCINI DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "MANCINI",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-725-5576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "RI",
            "license": "DPM00204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.