Gilbert J Altongy, MD

Individual provider Active NPI Interventional Cardiology Physician · Central Falls, RI

NPI 1972614733 · NPPES record last updated Nov 22, 2010

Key facts

NPI
1972614733
Entity type
Individual (NPI type 1)
Primary specialty
Interventional Cardiology Physician 207RI0011X
License
MD05204 (RI)
Practice address
1002 Broad Street
Central Falls, RI 02863
Phone
(401) 723-9250
Fax
(401) 728-0301
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20051208000122 RI Practitioner - Internal Medicine
Practitioner - Cardiovascular Disease (Cardiology)
3870514664 Practice locations: Central Falls, RI

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MD05204 RI Yes

Addresses

Primary practice location

1002 Broad Street
Central Falls, RI 02863

Mailing address

PO Box 70
Albion, RI 02802-0070

Other identifiers

IdentifierTypeStateIssuer
050415661OtherRICIGNA
0400543OtherRIUNITED HEALTH
050415661OtherRICOMM
050415661OtherRIMASHANTUCKET
050415661OtherRIAARP
404348OtherRITUFTS
64933OtherRIHARVARD
9001353MedicaidRI
000150OtherRICHIP
050415661OtherRIW/C
060000093OtherRIRR MEDICARE
13532OtherRIBLUE CROSS
5329228OtherRIAETNA
6284OtherRINEIGHBORHOOD
7610758OtherRIN CAROLINA MEDICAID

Other providers in Central Falls, RI

All providers in Central Falls, RI · Interventional Cardiology Physician in Rhode Island

Sources for this page

Verify at the official NPI Registry.