Organization Active NPI

Salvatore R Abbruzzese DO PC

  • Internal Medicine Physician
  • Wakefield, RI
National Provider Identifier
1689385643
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SALVATORE R ABBRUZZESE DO PC
Doing business as
Salvatore R Abbruzzese DO PC
Practice address
10 High St
Wakefield, RI 02879-3176
Phone
(401) 757-6973
Fax
(401) 685-0420
NPI assigned
Dec 12, 2022
Last updated
Apr 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Authorized official

Name
Salvatore R Abbruzzese Jr., DONPI 1396774089
Title
Owner
Phone
(401) 757-6973

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

10 High St
Wakefield, RI 02879-3176

Mailing address

10 High St
Wakefield, RI 02879-3176
Phone (401) 757-6973

Other practice location 1

24 Salt Pond Rd Ste H5
Wakefield, RI 02879-4337
Phone (401) 757-6973

Other identifiers 1

IdentifierTypeStateIssuer
DO00781OtherRIMEDICAL LICENSE

Other names 1

  • Salvatore R Abbruzzese DO PC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230103002389 RI Part B Supplier - Clinic/Group Practice 6305216649 Receives reassigned benefits from 2 practitioners
Practice locations: Wakefield, RI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1689385643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HIGH ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793176",
            "telephone_number": "401-757-6973",
            "fax_number": "401-685-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HIGH ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793176",
            "telephone_number": "401-757-6973",
            "fax_number": "401-685-0420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Salt Pond Rd Ste H5",
            "address_purpose": "LOCATION",
            "city": "Wakefield",
            "state": "RI",
            "postal_code": "028794337",
            "country_code": "US",
            "telephone_number": "401-757-6973",
            "fax_number": "401-685-0420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SALVATORE R ABBRUZZESE DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "ABBRUZZESE",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-757-6973",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "DO00781",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salvatore R Abbruzzese DO PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wakefield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.