Vincent D'Alessandro, MD

Individual provider Active NPI Pediatrics Physician · Johnston, RI

NPI 1780604140 · NPPES record last updated May 14, 2012

Key facts

NPI
1780604140
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
MD3506 (RI)
Practice address
1857 Atwood Ave
Johnston, RI 02919-7206
Phone
(401) 231-3300
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD3506RIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vincent a. D'Alessandro, M.D. Pediatrics Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD3506 RI Yes

Addresses

Primary practice location

1857 Atwood Ave
Johnston, RI 02919-7206

Mailing address

1857 Atwood Ave
Johnston, RI 02919-7206
Phone (401) 231-3300

Other providers in Johnston, RI

All providers in Johnston, RI · Pediatrics Physician in Rhode Island

Sources for this page

Verify at the official NPI Registry.