Organization Active NPI

Iwona Paolucci MD LTD

  • Internal Medicine Physician
  • Warwick, RI
National Provider Identifier
1710172283
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD11590 Issued in RI
Legal business name
IWONA PAOLUCCI MD LTD
Practice address
215 Toll Gate Rd
#209
Warwick, RI 02886-4458
Phone
(401) 825-8200
NPI assigned
Sep 7, 2007
Last updated
Mar 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Authorized official

Name
Iwona Paolucci, MDNPI 1811077811
Title
Owner
Phone
(401) 725-8200

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 Physician 207R00000X MD11590 RI Primary

Addresses

Primary practice location

215 Toll Gate Rd
#209
Warwick, RI 02886-4458

Mailing address

215 Toll Gate Rd
#209
Warwick, RI 02886-4458
Phone (401) 825-8200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050105000317 RI Part B Supplier - Clinic/Group Practice 0941258107 Receives reassigned benefits from 1 practitioner
Practice locations: Warwick, RI

National Provider Directory

National Provider Directory

Locations

215 Toll Gate Rd
Ste 220
Warwick, RI 02886
Phone (401) 825-8200

Practitioners & affiliated clinicians

Practitioners 1

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": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1710172283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 TOLL GATE RD",
            "address_2": "#209",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864458",
            "telephone_number": "401-825-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 TOLL GATE RD",
            "address_2": "#209",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864458",
            "telephone_number": "401-825-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IWONA PAOLUCCI MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "PAOLUCCI",
        "authorized_official_first_name": "IWONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-725-8200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD11590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 21, 2013; 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.