Individual provider Active NPI

Candace Criscione, DPM

  • Foot & Ankle Surgery Podiatrist
  • Warwick, RI
National Provider Identifier
1669855169
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM00354 Issued in RI
Practice address
400 Bald Hill Rd Ste 503
Warwick, RI 02886-1692
Phone
(401) 738-7750
NPI assigned
Jul 1, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180919001012 RI Practitioner - Podiatry 9931450616 Reassigns benefits to 1 organization
I20190515002387 MA Practitioner - Podiatry 9931450616 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1336MAMDAddiction (Substance Use Disorder) Counselor
DPM00354RIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard N Waldman MD PC Past Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1336 MA
Foot & Ankle Surgery Podiatrist 213ES0103X DPM00354 RI Primary

Addresses

NPPES NPI Registry

Primary practice location

400 Bald Hill Rd Ste 503
Warwick, RI 02886-1692

Mailing address

245 Broad Hill Way
Wakefield, RI 02879-4844
Phone (401) 714-5443

Other practice location 1

245 Broad Hill Way
Wakefield, RI 02879-4844
Phone (401) 714-5443

Other names 1

NPPES NPI Registry
  • Candace Masso Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 6, 2018.

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1669855169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 BROAD HILL WAY",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794844",
            "telephone_number": "401-714-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BALD HILL RD STE 503",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861692",
            "telephone_number": "401-738-7750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Broad Hill Way",
            "address_purpose": "LOCATION",
            "city": "Wakefield",
            "state": "RI",
            "postal_code": "028794844",
            "country_code": "US",
            "telephone_number": "401-714-5443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRISCIONE",
        "first_name": "CANDACE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "1336",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "RI",
            "license": "DPM00354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDACE",
            "last_name": "MASSO",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.