Richard G. Florentine, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

075073 Issued in MA

Practice address

100 Highland St
Suite 206
Milton, MA 02186-3881

Phone

(617) 696-5712

Fax

(617) 696-5714

NPI assigned

May 11, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609826676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND ST",
            "address_2": "SUITE 206",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863881",
            "telephone_number": "617-696-5712",
            "fax_number": "617-696-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND ST",
            "address_2": "SUITE 206",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863881",
            "telephone_number": "617-696-5712",
            "fax_number": "617-696-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORENTINE",
        "first_name": "RICHARD",
        "middle_name": "G.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "075073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3134661",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhea Finn, PHARMD, RPH
• Kathleen M Fitzgerald, M.D.
• Lawrence J Fitzpatrick, LATC, PTA
• Brenna Fleming
• Paul Fleury, ATC
• Jade Fortes
• Franci a. Richardson, Licsw, LLC
• Tanya Judith Frank, LICSW
• Paul Anthony Fugazzotto, D.D.S.
• Melissa Fullam, RD, IBCLC

• Internal Medicine Physician in Milton, MA
• Providers in Milton, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.