Individual provider Active NPI

Joseph Anthony Grande, DO

  • Family Medicine Physician
  • Warwick, RI
National Provider Identifier
1881709616
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO 00345 Issued in RI
Practice address
1243 Post Rd
Unit a
Warwick, RI 02888-3221
Phone
(401) 941-2999
Fax
(401) 941-5830
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 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 DO 00345 RI Primary

Addresses

Primary practice location

1243 Post Rd
Unit a
Warwick, RI 02888-3221

Mailing address

1243 Post Rd
Unit a
Warwick, RI 02888-3221
Phone (401) 941-2999

Other identifiers 1

IdentifierTypeStateIssuer
9002396MedicaidRI

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
I20120411000782 RI Practitioner - Family Practice 5698857076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1243 Post Rd
Warwick, RI 02888-3221
Phone (401) 941-2999

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Warwick, RI, CCN 417036
  • Vna of Care New England Home health agency, Warwick, RI, CCN 417006
  • Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO 00345RIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pilgrim Park Medical Associates LTD. Family Medicine CurrentSince Oct 1, 2007 Accepting new patients
Affinity Physicians LLC. Family Medicine Current Accepting new patients

Locations

1243 Post Rd
Warwick, RI 02888
Phone (401) 941-2999

1243 Post Rd
#A
Warwick, RI 02888
Phone (401) 941-2999

Interoperability endpoints

  • Direct secure messaging: jgrande@direct.carene.org

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267142400000",
    "number": "1881709616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 POST RD",
            "address_2": "UNIT A",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883221",
            "telephone_number": "401-941-2999",
            "fax_number": "401-941-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 POST RD",
            "address_2": "UNIT A",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883221",
            "telephone_number": "401-941-2999",
            "fax_number": "401-941-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDE",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2010-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "DO 00345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9002396",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.