NPIMap

Organization Active NPI

University Family Medicine Inc

  • Family Medicine Physician
  • East Greenwich, RI
National Provider Identifier
1992846315
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNIVERSITY FAMILY MEDICINE INC
Practice address
1351 S County TRL
Suite 301
East Greenwich, RI 02818-5083
Phone
(401) 398-0860
Fax
(401) 398-0861
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Authorized official

Name
Dr. Pierre R Manzo, MDNPI 1033199468
Title
President
Phone
(401) 398-0860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1351 S County TRL
Suite 301
East Greenwich, RI 02818-5083

Mailing address

1351 S County TRL
Suite 301
East Greenwich, RI 02818-5083
Phone (401) 398-0860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050909000091 RI Part B Supplier - Clinic/Group Practice 5991737041 Receives reassigned benefits from 8 practitioners
Practice locations: East Greenwich, RI

National Provider Directory

National Provider Directory

Locations

1351 S County Trl
Ste 301
East Greenwich, RI 02818
Phone (401) 398-0860

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1992846315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 S COUNTY TRL",
            "address_2": "SUITE 301",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028185083",
            "telephone_number": "401-398-0860",
            "fax_number": "401-398-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 S COUNTY TRL",
            "address_2": "SUITE 301",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028185083",
            "telephone_number": "401-398-0860",
            "fax_number": "401-398-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "MANZO",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-398-0860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenwich, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.