Richard P. Iacobucci MD, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RICHARD P. IACOBUCCI MD, INC.

Practice address

1635 Mineral Spring Ave
Suite #200
North Providence, RI 02904-4025

Phone

(401) 353-4936

Fax

(401) 270-3304

NPI assigned

Aug 22, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Christine R. Rebello

Title

Billing Specialist

Phone

(401) 353-4936

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1962695155",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "1635 MINERAL SPRING AVENUE",
            "address_2": "SUITE #200",
            "city": "NO. PROVIDENCE",
            "state": "RHODE ISLAND",
            "postal_code": "02904",
            "telephone_number": "401-353-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 MINERAL SPRING AVE",
            "address_2": "SUITE #200",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044025",
            "telephone_number": "401-353-4936",
            "fax_number": "401-270-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD P. IACOBUCCI MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "REBELLO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "401-353-4936",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9002331",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ri Dental Surgery & Implants, LTD.
• Ri Wellness Medical Center LLC
• Haley Kathryn Ribb, LCSW
• Melissa Ricciotti, PT
• John Riccitelli, MSW, LICSW
• Jacqueline Richards
• Dawn M. Risi, MA IN COUNSELING
• Rite Aid Pharmacy
• Robert a. Paolella, M.D., Inc.
• Rachel Anderson Roberts, RD, LDN

• Internal Medicine Physician in North Providence, RI
• Providers in North Providence, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.