John Joseph Machata, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD08781 Issued in RI

Practice address

320 Phillips Street
Suite 102
North Kingstown, RI 02852-5149

Phone

(401) 294-9949

Fax

(888) 898-5898

NPI assigned

Apr 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1922064534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PHILLIPS ST",
            "address_2": "SUITE 102",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028525166",
            "telephone_number": "404-294-9949",
            "fax_number": "888-898-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PHILLIPS STREET",
            "address_2": "SUITE 102",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028525149",
            "telephone_number": "401-294-9949",
            "fax_number": "888-898-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHATA",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD08781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004417",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lux Behavioral Health LLC
• John J Lynch Jr., RDO
• Lynn Ho MD Inc
• Carmen B Lysaght, MSN RNCS APRN
• Kristie Marie Machado
• Venita Maciel
• Marie Louise Madden, LICSW
• Kelley Shannon Magill, MS, RD
• Lisa S Maleiko
• Ian Thomas Manning, M.S.P.T.

• All providers in North Kingstown, RI
• Family Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.