Active NPI
Candace Criscione, DPM
- Foot & Ankle Surgery Podiatrist
- Warwick, RI
National Provider Identifier
1669855169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- DPM00354
- 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.
-
- Dermatology Physician
- Fall River, MA
- NPI 1942407606
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1336 | MA | MD | Addiction (Substance Use Disorder) Counselor |
| DPM00354 | RI | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard N Waldman MD PC | Past | Accepting new patients |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1336 | MA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | DPM00354 | RI | Primary |
Addresses
NPPES NPI RegistryPrimary 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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.