DR. DENIS E MOONAN JR.


Address: 1515 Smith St, Suite N, North Providence, RI 02911-2947
Phone: 4013530555

DR. DENIS E MOONAN JR. (NPI# 1386626174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386626174
Entity Type Individual
Full Name DR. DENIS E MOONAN JR.
Credential M.D.
Practice Address 1515 Smith St
Suite N
North Providence
RI 02911-2947
Practice Telephone 4013530555
Practice Fax Number 4013537079
Mailing Telephone 4013530555
Mailing Fax Number 4013537079
Enumeration Date 2005-11-16
Last Update Date 2016-09-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RA0401X Internal Medicine
Specialization: Addiction Medicine
MD05654 RI Allopathic & Osteopathic Physicians
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
MD05654 RI Allopathic & Osteopathic Physicians
N 207ZP0101X Pathology
Specialization: Anatomic Pathology
MD05654 RI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RI 9002408 05
RI BLUE CROSS BLUE SHIELD 24088 01

Office Location

Street Address 1515 SMITH ST
SUITE N
City NORTH PROVIDENCE
State RI
Zip Code 02911-2947

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386035160 Lombardi Medical Associates, LLC Internal Medicine 1515 Smith St, Suite M, North Providence, RI 02911-2947 2015-02-14
1972742435 Robert A. Paolella, M.d., Inc. Internal Medicine 1515 Smith St, Suite M., North Providence, RI 02911-2947 2009-02-06
1780841023 Internal Medicine Endocrinology Associataes, Inc Internal Medicine 1515 Smith St, North Providence, RI 02911-2947 2008-05-22
1811179906 Nicholas Iannuccilli Md Radiology 1515 Smith St, North Providence, RI 02911-2947 2007-11-29
1134267891 Frank Mario Dalessandro Sr. Internal Medicine 1515 Smith St, North Providence, RI 02911-2947 2007-02-02
1447317730 Frank Bruno D'alessandro Internal Medicine 1515 Smith St, North Providence, RI 02911-2947 2007-01-03
1992813273 Nicholas D Iannuccilli Radiology 1515 Smith St, Ste 6, North Providence, RI 02911-2947 2006-08-28
1891759882 Robert Anthony Paolella Internal Medicine 1515 Smith St, Suite M, North Providence, RI 02911-2947 2006-04-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790227932 Lepre Physical Therapy Preferred Provider Organization 1525 Smith Street, North Providence, RI 02911 2016-11-04
1376916304 Catherine Deborah Lariviere Counselor 7 Sunset Avenue, North Providence, RI 02911 2015-11-13
1184005282 Melissa Ricciotti Physical Therapist 1525 Smith Street #5, North Providence, RI 02911 2015-06-15
1982041109 Camia Crawford Dimock Family Medicine 33 Maple St, North Providence, RI 02911 2013-05-29
1821168642 Patricia C Morena Counselor 1845 Smith St, #8, No Providence, RI 02911 2006-11-09
1619056355 Robert W Gibbons Podiatrist 2050 Mineral Spring Ave, North Providence, RI 02911 2006-11-03
1063068344 Pappas Physical Therapy LLC Durable Medical Equipment & Medical Supplies 1525 Smith Street, Unit #5, North Providence, RI 02911 2019-08-13
1306366695 Linzi Rae Matta Social Worker 420 Fruit Hill Ave, North Providence, RI 02911 2017-06-27
1942708714 Daphnay Laura Gabriel Counselor 13 Saint Marys Rd, North Providence, RI 02911-1023 2018-01-26
1093909806 Nicole Jellinek Social Worker 229 Waterman Ave, Providence, RI 02911-1043 2007-09-05
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396806352 Michael M Palatucci Internal Medicine 1637 Mineral Spring Ave, Suite 215, North Providence, RI 02904-4055 2006-12-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366646820 Kimberly A Dodd Internal Medicine 150 Chestnut St Ste 4, Providence, RI 02903-4649 2007-06-11
1730143025 James David Burrill Internal Medicine 9 Thomas Dr, Lincoln, RI 02865-4914 2006-04-13
1578547212 Naomi Y Mcmackin Internal Medicine Memorial Hospital of Ri, 111 Brewster Street, Pawtucket, RI 02860-1400 2005-12-06
1194715060 Edward W Martin Internal Medicine 169 George St, Pawtucket, RI 02860-3853 2005-10-24
1205822277 Michael Klufas Internal Medicine 525 Broad St, Suite 103, Cumberland, RI 02864-6919 2005-09-23
1346760568 Marilyne Cadieux Internal Medicine 593 Eddy St, Providence, RI 02903-4923 2017-06-20
1568831162 Gps Physician Group of Rhode Island PC Internal Medicine 10 Woodland Dr, Coventry, RI 02816-6716 2015-09-24
1588001531 Ramesh Adhikari Internal Medicine 593 Eddy St, Providence, RI 02903-4923 2013-05-31
1235576380 Sylvester Sarfraz Internal Medicine 593 Eddy St, Providence, RI 02903-4923 2013-05-30
1376815142 Erkan Ozturk Internal Medicine 407 East Ave, Suite 110, Pawtucket, RI 02860-5290 2012-02-08
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Competitor

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City NORTH PROVIDENCE
Zip Code 02911

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Dataset Information

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.

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