Active NPI
Henry Vicini, M.D.
- Geriatric Medicine (Family Medicine) Physician
- Fall River, MA
National Provider Identifier
1942294277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 59874
- Practice address
- 289 Pleasant St
Suite 502
Fall River, MA 02721-3005 - Phone
- (508) 679-2505
- Fax
- (508) 675-5554
- NPI assigned
- Sep 1, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 59874 | MA | Primary |
Addresses
Primary practice location
289 Pleasant St
Suite 502
Fall River, MA 02721-3005
Mailing address
289 Pleasant St
Suite 502
Fall River, MA 02721-3005
Phone (508) 679-2505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59874 | MA | MD | Geriatric Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426291200000",
"number": "1942294277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289 PLEASANT ST",
"address_2": "SUITE 502",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027213005",
"telephone_number": "508-679-2505",
"fax_number": "508-675-5554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 PLEASANT ST",
"address_2": "SUITE 502",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027213005",
"telephone_number": "508-679-2505",
"fax_number": "508-675-5554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICINI",
"first_name": "HENRY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-01",
"last_updated": "2015-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "MA",
"license": "59874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.