Individual provider Active NPI

Vincent Criscione

  • Dermatology Physician
  • East Greenwich, RI
National Provider Identifier
1891085387
Registry record updated Mar 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD14503 Issued in RI
Practice address
3461 S County TRL
Suite 202
East Greenwich, RI 02818-1465
Phone
(401) 471-3376
NPI assigned
Apr 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD14503 RI Primary

Addresses

Primary practice location

3461 S County TRL
Suite 202
East Greenwich, RI 02818-1465

Mailing address

245 Broad Hill Way
Wakefield, RI 02879-4844

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
I20140429000619 RI Practitioner - Dermatology 3375775398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert K Dyer MD Dermatology LLCGroup PAC ID 8123290491, 12 clinicians

Practice addresses (Care Compare)

3461 S County Trail
Suite 202
East Greenwich, RI 02818-1463

3461 S County TRL
Suite 202
East Greenwich, RI 02818-1463
Phone (401) 471-3376

350 Kingstown Rd
Suite 202
Narragansett, RI 02882-3262
Phone (401) 360-2970

Hospital & facility affiliations

  • South County Hospital Inc Hospital, Wakefield, RI, CCN 410008

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1473
Skin biopsy577

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD14503RIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert K Dyer MD Dermatology LLC Dermatology CurrentSince May 1, 2014 Accepting new patients
South County Family Medicine Inc. Past Accepting new patients

Locations

3461 S County Trl
Ste 202
East Greenwich, RI 02818
Phone (401) 471-3376

350 Kingstown Rd
Ste 202
Narragansett, RI 02882
Phone (401) 360-2970

268 Post Rd
Ste 201
Westerly, RI 02891

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 1

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": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458432000000",
    "number": "1891085387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 BROAD HILL WAY",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 S COUNTY TRL",
            "address_2": "SUITE 202",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181465",
            "telephone_number": "401-471-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISCIONE",
        "first_name": "VINCENT",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-18",
        "last_updated": "2016-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "RI",
            "license": "MD14503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenwich, RI

Sources for this page

Verify at the official NPI Registry.