1477618841 NPI number — JOSEPH V GIRGENTI OD INC

Table of content: (NPI 1477618841)

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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