Individual provider Active NPI

John J Solomon, DO

  • Family Medicine Physician
  • North Smithfield, RI
National Provider Identifier
1861529158
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO00406 Issued in RI
Practice address
594 Great Rd
Suite 103
North Smithfield, RI 02896-6810
Phone
(401) 768-3700
NPI assigned
Feb 27, 2007
Last updated
Feb 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO00406 RI Primary

Addresses

Primary practice location

594 Great Rd
Suite 103
North Smithfield, RI 02896-6810

Mailing address

594 Great Rd
Suite 103
North Smithfield, RI 02896-6810
Phone (401) 768-3700

Other identifiers 1

IdentifierTypeStateIssuer
9003079MedicaidRI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080620000279 RI Practitioner - Family Practice 8123199031 Reassigns benefits to 2 organizations
Practice locations: North Smithfield, RI

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2 Wake Robin Rd
Suite 106
Lincoln, RI 02865-1155
Phone (401) 333-9595

2 Wake Robin Rd
Suite 106
Lincoln, RI 02865-4241

594 Great Rd
Suite 102a
North Smithfield, RI 02896-6810
Phone (401) 768-3400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Urgent Care Center, Inc. CurrentSince May 17, 2008 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Janice M. Kizirian, MD, Inc. Past Accepting new patients
John J. Solomon Jr DO PastSince Jan 1, 1990 Accepting new patients

Locations

2 Wake Robin Rd
Ste 106
Lincoln, RI 02865
Phone (401) 333-9595

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1861529158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 GREAT RD",
            "address_2": "SUITE 103",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028966810",
            "telephone_number": "401-768-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 GREAT RD",
            "address_2": "SUITE 103",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028966810",
            "telephone_number": "401-768-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "DO00406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9003079",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Smithfield, RI

Sources for this page

Verify at the official NPI Registry.