NPIMap

Individual provider Active NPI

Justin Malette

  • Family Nurse Practitioner
  • Warwick, RI
National Provider Identifier
1881336683
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN03116 Issued in RI
Practice address
206 Buttonwoods Ave
Warwick, RI 02886-7541
Phone
(401) 732-9090
Fax
(401) 732-2970
NPI assigned
Apr 12, 2022
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN03116 RI Primary
Family Nurse Practitioner 363LF0000X RN2308924 MA

Addresses

Primary practice location

206 Buttonwoods Ave
Warwick, RI 02886-7541

Mailing address

311 Doric Ave
Cranston, RI 02910-2903
Phone (401) 467-9610

Other practice location 1

780 Albany St
Boston, MA 02118-2755
Phone (857) 654-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220825000575 RI Practitioner - Nurse Practitioner 5092199026 Reassigns benefits to 2 organizations
I20260507001259 MA Practitioner - Nurse Practitioner 5092199026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1090 Cranston St
Cranston, RI 02920-7323
Phone (401) 943-1981

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
00000RIMDNurse Practitioner
RN2308924MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical Physicians, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Comprehensive Community Action, Inc. Current Accepting new patients
Comprehensive Community Action, Inc CurrentSince Feb 1, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Feb 4, 2026 Accepting new patients
Coastal Medical Physicians, Inc. Family CurrentSince Aug 1, 2022 Accepting new patients
Comprehensive Community Action, Inc Past Accepting new patients

Locations

1090 Cranston St
Cranston, RI 02920
Phone (401) 467-9610

311 Doric Ave
Cranston, RI 02910
Phone (401) 467-9610

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

270 Bellevue Ave
Newport, RI 02840
Phone (203) 843-2264

727 East Ave
Pawtucket, RI 02860
Phone (401) 724-6800

206 Buttonwoods Ave
Warwick, RI 02886
Phone (401) 732-9090

Interoperability endpoints

  • Direct secure messaging: justin.malette.p3@direct.ccap.nextgenshare.com

Organizations & group practices 7

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 3

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": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1881336683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 DORIC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029102903",
            "telephone_number": "401-467-9610",
            "fax_number": "401-467-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 BUTTONWOODS AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028867541",
            "telephone_number": "401-732-9090",
            "fax_number": "401-732-2970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 Albany St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182755",
            "country_code": "US",
            "telephone_number": "857-654-1000",
            "fax_number": "857-654-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALETTE",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-12",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN03116",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2308924",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.