Anthony Rocco Petito, DDS, MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

MD09730 Issued in RI

Practice address

400 Massasoit Ave
Suite 103
East Providence, RI 02914-2012

Phone

(401) 919-5560

Fax

(401) 919-5740

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Maxillofacial Surgeons, LTD.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Warwick, RI
  • NPI 1972579183
  NPD (past) Authorized official
• Facial & Oral Surgery, LLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Seekonk, MA
  • NPI 1427082437
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1760430730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MASSASOIT AVE",
            "address_2": "SUITE 103",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029142012",
            "telephone_number": "401-919-5560",
            "fax_number": "401-919-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MASSASOIT AVE",
            "address_2": "SUITE 103",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029142012",
            "telephone_number": "401-919-5560",
            "fax_number": "401-919-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETITO",
        "first_name": "ANTHONY",
        "middle_name": "ROCCO",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "RI",
            "license": "02552",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "RI",
            "license": "MD09730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7006548",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Perlini, RDH, PHDH
• Jessica Gomes Lopes Perry, MSW, LCSW
• Olivia Perry, PA-C
• Sara Petit
• Petito Oral Surgery
• David J Pezzullo, PT
• Shelby Pezzullo, PT
• Danielle Marie Phaneuf
• Eric A Phillips, PT
• Lois Frances Pierce, RD, LDN

• Oral & Maxillofacial Surgery (D.M.D.) in East Providence, RI
• Providers in East Providence, RI by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.