NPIMap

Organization Active NPI

Cardiovascular Institute of New England PC

  • Cardiovascular Disease Physician
  • Lincoln, RI
National Provider Identifier
1699923656
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
09416 Issued in RI
Legal business name
CARDIOVASCULAR INSTITUTE OF NEW ENGLAND PC
Practice address
6 Blackstone Valley PL Ste 105
Lincoln, RI 02865-1112
Phone
(401) 762-3838
Fax
(401) 762-8252
NPI assigned
Sep 3, 2008
Last updated
Aug 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Joseph P Mazza, MDNPI 1912905209
Title
President
Phone
(401) 762-3838

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
Cardiovascular Disease Physician 207RC0000X 09416 RI Primary

Addresses

Primary practice location

6 Blackstone Valley PL Ste 105
Lincoln, RI 02865-1112

Mailing address

6 Blackstone Valley PL Ste 105
Lincoln, RI 02865-1112
Phone (401) 464-9751

Other practice location 1

395 Atwood Ave
Cranston, RI 02920-4358
Phone (401) 464-9751

Other practice location 2

35 Wells St
Westerly, RI 02891-2948
Phone (401) 596-7880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081215000321 RI Part B Supplier - Clinic/Group Practice 0547322273 Receives reassigned benefits from 20 practitioners
Practice locations: Lincoln, RI

National Provider Directory

National Provider Directory

Locations

395 Atwood Ave
Cranston, RI 02920
Phone (401) 464-9751

6 Blackstone Valley Pl
Ste 105
Lincoln, RI 02865
Phone (401) 464-9751

35 Wells St
Westerly, RI 02891
Phone (401) 596-0964

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1699923656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL STE 105",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651112",
            "telephone_number": "401-464-9751",
            "fax_number": "401-437-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL STE 105",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651112",
            "telephone_number": "401-762-3838",
            "fax_number": "401-762-8252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 Atwood Ave",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029204358",
            "country_code": "US",
            "telephone_number": "401-464-9751",
            "fax_number": "401-464-9755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Wells St",
            "address_purpose": "LOCATION",
            "city": "Westerly",
            "state": "RI",
            "postal_code": "028912948",
            "country_code": "US",
            "telephone_number": "401-596-7880",
            "fax_number": "401-596-5453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARDIOVASCULAR INSTITUTE OF NEW ENGLAND PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "MAZZA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-762-3838",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "RI",
            "license": "09416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.