MR. ANTHONY JOSEPH ROTELLI JR. (NPI# 1376670117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376670117 |
| Entity Type | Individual |
| Full Name | MR. ANTHONY JOSEPH ROTELLI JR. |
| Credential | MD |
| Practice Address |
1524 Atwood Ave Suite 115 Johnston RI 02919 |
| Practice Telephone | 4012723409 |
| Practice Fax Number | 4018311070 |
| Mailing Telephone | 4012723409 |
| Mailing Fax Number | 4018311070 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 4945 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 9001126 | 05 | |
| RI BLUE CROSS | 11266 | 01 | |
| UHC | 1900113 | 01 |
| Street Address |
1524 ATWOOD AVE SUITE 115 |
| City | JOHNSTON |
| State | RI |
| Zip Code | 02919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093374274 | Jessica Marie Dirocco | Nurse Practitioner | 1524 Atwood Ave, Johnston, RI 02919-3228 | 2019-06-11 |
| 1750828596 | Kristen Hannigan | Physician Assistant | 1524 Atwood Ave, Suite 220, Johnston, RI 02919-3228 | 2017-01-31 |
| 1982148243 | Johnston Dental Group, LLC | Dentist | 1524 Atwood Ave, Suite 438, Johnston, RI 02919-3228 | 2016-12-06 |
| 1356792824 | Ariana Parker | Physician Assistant | 1524 Atwood Ave, Suite 321, Johnston, RI 02919 | 2016-06-27 |
| 1639535776 | David Aiello Jr. | Chiropractor | 1524 Atwood Ave, # 210a, Johnston, RI 02919-3228 | 2016-01-05 |
| 1922406875 | Angels Medical Associates LLC | Internal Medicine | 1524 Atwood Ave, Suite 327, Johnston, RI 02919-3228 | 2014-12-09 |
| 1609272376 | Toder Rheumatology & Osteoporosis Center, P.C. | Internal Medicine | 1524 Atwood Ave, Suite 333, Johnston, RI 02919-3228 | 2014-11-07 |
| 1306261706 | Erik Andrew Shumaker | Psychologist | 1524 Atwood Ave, #222, Johnston, RI 02919-3228 | 2014-02-22 |
| 1881027498 | Cheryl A Schertz | Nurse Practitioner | 1524 Atwood Ave, Suite 336, Johnston, RI 02919-3228 | 2013-08-19 |
| 1265864045 | Melany Caryn Tromba | Psychologist | 1524 Atwood Ave, Suite 222, Johnston, RI 02919-3228 | 2013-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659935757 | Cheryl K. D'itri | Massage Therapist | 2051 Plainfield Pike, Johnston, RI 02919 | 2019-04-24 |
| 1013401124 | Cigna Onsite Health LLC | Clinic/Center | 735 Greenville Ave, Bldg D, Johnston, RI 02919 | 2018-06-21 |
| 1659862803 | Michaele Marie Colizza | Massage Therapist | 1524 Atwood Ave Ste 213, Johnston, RI 02919 | 2018-05-23 |
| 1609396613 | Peter Dionisopoulos | Physical Therapist | 12 Industrial Ln, Johnston, RI 02919 | 2017-06-21 |
| 1306382932 | Marcie E Diorio | Social Worker | 1126 Hartford Avenue Tri-county Community Action Agency, Johnston, RI 02919 | 2017-01-06 |
| 1467735720 | Robert Tortolani | Pharmacist | 1387 Plaindield St., Johnston, RI 02919 | 2011-09-23 |
| 1518288075 | Vito F. Ferri | Internal Medicine | 1539 Atwood Ave., Suite 101, Johnston, RI 02919 | 2010-06-18 |
| 1497073894 | Usv Optical Inc. | Technician/Technologist | 200 Stone Hill Drive, Johnston, RI 02919 | 2010-05-10 |
| 1922239995 | Heidi C. O'grady | Physical Therapist | 1529 Atwood Avenue, Suite 202, Johnston, TX 02919 | 2009-08-07 |
| 1184855397 | Holly Batura | Counselor | 1516 Hartford Avenue, Johnston, RI 02919 | 2009-08-05 |
| Find all providers in zip 02919 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538489364 | Michael Alavian | Urology | 1524 Atwood Ave Ste 322, Johnston, RI 02919-3228 | 2010-06-03 |
| 1588819445 | Urologic Specialists of New England, LLC | Urology | 1539 Atwood Ave, Suite 203, Johnston, RI 02919-3262 | 2008-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336658145 | Brown Urology, Inc. | Urology | 195 Collyer St Ste 104, Providence, RI 02904-1869 | 2017-09-25 |
| 1891135356 | Naeem M. Siddiqi | Urology | 12 Georgiana Dr, Cumberland, RI 02864-1106 | 2013-06-28 |
| 1508126590 | Atip Chatsudthipong | Urology | 207 Quaker Ln Fl 1, West Warwick, RI 02893-2179 | 2012-05-23 |
| 1144464587 | John F Maynard | Urology | Metacomet Office Park, 450 Veterans Parkway, East Providence, RI 02914 | 2009-04-29 |
| 1407001373 | Urologic Specialists of New England, LLC | Urology | 869 Post Rd, Warwick, RI 02888-3360 | 2008-11-19 |
| 1104075084 | Bruce Nadjmi | Urology | 5 Christopher Drive, Lincoln, RI 02865-4946 | 2008-09-16 |
| 1861652349 | Liza M. Aguiar | Urology | 195 Collyer St 201, Providence, RI 02904-1869 | 2008-06-10 |
| 1528227204 | Thomas Grimmett Breslin | Urology | 7 Dana Rd, Bristol, RI 02809-1401 | 2008-06-06 |
| 1407026479 | Samuel Hamilton Eaton | Urology | 23 Powel Ave Apt 3, Newport, RI 02840-2679 | 2008-03-06 |
| 1982823209 | Lawrence F Audino | Urology | 284 Sea Meadow Dr, Portsmouth, RI 02871-3926 | 2007-04-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.