Individual provider Active NPI

Vincent A Montemarano, MD

  • Surgery Physician
  • Westerly, RI
National Provider Identifier
1891789277
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5077 Issued in RI
Practice address
27 East Ave
Westerly, RI 02891-3107
Phone
(401) 348-8138
Fax
(401) 348-8156
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5077 RI Primary

Addresses

Primary practice location

27 East Ave
Westerly, RI 02891-3107

Mailing address

27 East Ave
Westerly, RI 02891-3107
Phone (401) 348-8138

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
I20050314000001 RI Practitioner - General SurgeryPractitioner - General Practice 5496700403 Practice locations: Westerly, RI

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5077RIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel E Viders MD PC PastSince Jun 5, 2006 Accepting new patients
Seaside Primary Care PastSince Nov 22, 2021 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1891789277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 EAST AVE",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028913107",
            "telephone_number": "401-348-8138",
            "fax_number": "401-348-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 EAST AVE",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028913107",
            "telephone_number": "401-348-8138",
            "fax_number": "401-348-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEMARANO",
        "first_name": "VINCENT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "RI",
            "license": "5077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

Verify at the official NPI Registry.