Active NPI
Kingstown Pediatrics Inc
- Pediatrics Physician
- North Kingstown, RI
National Provider Identifier
1912030792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- RI09449
- Legal business name
- KINGSTOWN PEDIATRICS INC
- Practice address
- 420 Scrabbletown Rd Ste a
North Kingstown, RI 02852-3638 - Phone
- (401) 295-7400
- Fax
- (401) 295-7825
- NPI assigned
- Mar 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Cotnoir
- Title
- Office Manager
- Phone
- (401) 295-7400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | RI09449 | RI | Primary |
Addresses
Primary practice location
420 Scrabbletown Rd Ste a
North Kingstown, RI 02852-3638
Mailing address
420 Scrabbletown Rd Ste a
North Kingstown, RI 02852-3638
Phone (401) 295-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9004013 | Medicaid | RI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783900800000",
"number": "1912030792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 SCRABBLETOWN RD STE A",
"city": "NORTH KINGSTOWN",
"state": "RI",
"postal_code": "028523638",
"telephone_number": "401-295-7400",
"fax_number": "401-295-7825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 SCRABBLETOWN RD STE A",
"city": "NORTH KINGSTOWN",
"state": "RI",
"postal_code": "028523638",
"telephone_number": "401-295-7400",
"fax_number": "401-295-7825"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINGSTOWN PEDIATRICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A",
"authorized_official_last_name": "COTNOIR",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "401-295-7400"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "RI",
"license": "RI09449",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9004013",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Kingstown, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.