JOSEPH DIBENEDETTO JR MD INC (NPI# 1942479860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942479860 |
| Entity Type | Organization |
| Organization Name | JOSEPH DIBENEDETTO JR MD INC |
| Practice Address |
193 Waterman St Providence RI 02906-4014 |
| Practice Telephone | 4013514470 |
| Practice Fax Number | 4013510163 |
| Mailing Telephone | 4013514470 |
| Mailing Fax Number | 4013510163 |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-05-28 |
| Authorized Official Name | PATRICIA W. DIBENEDETTO (RN,BSN,OCN, PRACTICE MANAGER) |
| Authorized Official Telephone | 4013514470 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD004989 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUECHIP | 000644 | 01 | |
| BLUECROSS | 369-0 | 01 | |
| UNITED HEALTH | 30-00103 | 01 |
| Street Address |
193 WATERMAN ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-4014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205820222 | Joseph Dibenedetto Jr. | Internal Medicine | 193 Waterman St, Providence, RI 02906-4014 | 2005-09-06 |
| 1336594506 | Kimberly Lundin | Counselor | 193 Waterman St, Providence, RI 02906-4064 | 2016-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
| 1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
| 1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
| Find all providers in zip 02906 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447266036 | Gary M Strauss | Internal Medicine | Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903 | 2006-08-01 |
| 1457309858 | Anthony Emmanuel Mega | Internal Medicine | 164 Summit Avenue, Fain 3, Providence, RI 02906-2853 | 2006-05-05 |
| 1205820222 | Joseph Dibenedetto Jr. | Internal Medicine | 193 Waterman St, Providence, RI 02906-4014 | 2005-09-06 |
| 1992706139 | Raymond F. Chaquette | Internal Medicine | 235 Plain St, Suite 203, Providence, RI 02905-3240 | 2005-08-10 |
| 1467459263 | Ritesh Rathore | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2005-07-07 |
| 1871026583 | Laura W. Salama | Internal Medicine | 593 Eddy Street, Hematology Oncology Fellowship Program - George 312, Providence, RI 02903 | 2017-04-10 |
| 1336596774 | Kathryn Decarli | Internal Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2016-05-16 |
| 1508249293 | Chrystina Castellon | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2015-06-30 |
| 1124461181 | Alexander G Raufi | Internal Medicine | 593 Eddy St, Providence, RI 02903 | 2013-04-09 |
| 1487903472 | Nathaniel Michael Cook | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2012-09-05 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02906 |
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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.