1477618841 NPI number — JOSEPH V GIRGENTI OD INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477618841 NPI number — JOSEPH V GIRGENTI OD INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JOSEPH V GIRGENTI OD INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
NORTH SCITUATE FAMILY EYE CARE
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477618841
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/11/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
17 VILLAGE PLAZA WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
N SCITUATE
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02857-1849
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-934-2800
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
17 VILLAGE PLAZA WAY
Provider Second Line Business Practice Location Address:
BOX 4
Provider Business Practice Location Address City Name:
N SCITUATE
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02857-1849
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-934-2800
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GIRGENTI
Authorized Official First Name:
JOSEPH
Authorized Official Middle Name:
VICTOR
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
401-934-2800

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  ODTA00432 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 9007947 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2200088 . This is a "UNITED HEALTH CARE OF N.E" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 78308 . This is a "RI FEDERAL BLUE CROSS" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 201880 . This is a "BLUE CHIP" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 461497 . This is a "AETNA US HEALTHCARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 007006348 . This is a "PACE ORGANIZATION OF RI" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 2200088 . This is a "OXFORD HEALTH PLANS" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 025600778 . This is a "VISION SERVICE PLAN" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 2200088 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 78308 . This is a "RI BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 2874 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 78308 . This is a "RI PLAN 65" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 410048380 . This is a "RAILROAD RETIREE" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".




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