John Diorio Jr., M.D.

Individual provider Active NPI Obstetrics & Gynecology Physician · Warwick, RI

NPI 1790766517 · NPPES record last updated Jun 11, 2018

Key facts

NPI
1790766517
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
5123 (RI)
Practice address
215 Toll Gate Rd Ste 106
Warwick, RI 02886
Phone
(401) 467-9111
Fax
(401) 461-1390
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20041207001240 RI Practitioner - Obstetrics/Gynecology 1850357260

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5123RIMDObstetrics & Gynecology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5123 RI Yes

Addresses

Primary practice location

215 Toll Gate Rd Ste 106
Warwick, RI 02886

Mailing address

215 Toll Gate Rd Ste 106
Warwick, RI 02886-4462
Phone (401) 467-9111

Other identifiers

IdentifierTypeStateIssuer
22682OtherRIBLUE CROSS BLUE SHIELD
000658OtherRIBLUECHIP
9001281MedicaidRI

Other providers in Warwick, RI

All providers in Warwick, RI · Obstetrics & Gynecology Physician in Rhode Island

Sources for this page

Verify at the official NPI Registry.