Joseph Dibenedetto Jr MD Inc

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

MD004989 Issued in RI

Legal business name

JOSEPH DIBENEDETTO JR MD INC

Practice address

193 Waterman St
Providence, RI 02906-4014

Phone

(401) 351-4470

Fax

(401) 351-0163

NPI assigned

Feb 25, 2008

Last updated

May 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia W. Dibenedetto

Title

RN,BSN,Ocn, Practice Manager

Phone

(401) 351-4470

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1942479860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 WATERMAN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064014",
            "telephone_number": "401-351-4470",
            "fax_number": "401-351-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 WATERMAN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064014",
            "telephone_number": "401-351-4470",
            "fax_number": "401-351-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH DIBENEDETTO JR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "DIBENEDETTO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "RN,BSN,OCN, PRACTICE MANAGER",
        "authorized_official_telephone_number": "401-351-4470"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "RI",
            "license": "MD004989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP",
            "identifier": "000644",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "30-00103",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "369-0",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Jones, PHARMD
• Laila M Jonsson, PA
• Emilie Joost
• Jon Jordan, CRNA
• Alexander Tobias Jorrin, PA-C
• Joseph R. Gaeta, MD
• Ann Delores Joseph, RN
• James Joseph, MD
• Joan L Joseph, LICSW
• Naika Joseph, LICSW

• Hematology & Oncology Physician in Providence, RI
• Providers in Providence, RI by specialty
• Hematology & Oncology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.