Individual provider Active NPI

Jon M. Dooley, MD

  • Pediatrics Physician
  • Pawtucket, RI
National Provider Identifier
1619472339
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD18262 Issued in RI
Practice address
1145 Main St
Pawtucket, RI 02860-7825
Phone
(401) 722-0081
NPI assigned
Mar 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD18262 RI Primary

Addresses

Primary practice location

1145 Main St
Pawtucket, RI 02860-7825

Mailing address

1145 Main St
Pawtucket, RI 02860-7825
Phone (401) 722-0081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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

Enrollment IDStateProvider typePAC IDDetails
I20220125000843 RI Practitioner - Pediatric Medicine 1951645472 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Chartercare Sjhsri, LLC Pediatrics CurrentSince Feb 1, 2022 Accepting new patients
Blackstone Valley Community Health Care, Inc. CurrentSince Mar 11, 2025 Accepting new patients
Prospect Chartercare Sjhsri, LLC CurrentSince Feb 1, 2022 Accepting new patients
Blackstone Valley Community Health Care, Inc. Past Accepting new patients

Locations

9 Chestnut St
Central Falls, RI 02863
Phone (401) 722-0081

2 Wake Robin Rd
Lincoln, RI 02865
Phone (401) 333-1747

200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000

1145 Main St
Pawtucket, RI 02860
Phone (401) 305-5280

39 East Ave
Pawtucket, RI 02860
Phone (401) 722-0081

Interoperability endpoints

  • Direct secure messaging: jon.dooley.p1@direct.bvchc.nextgenshare.com
  • Direct secure messaging: jondooley@nslijmedgr.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1619472339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 MAIN ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028607825",
            "telephone_number": "401-722-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 MAIN ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028607825",
            "telephone_number": "401-722-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "JON",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD18262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.