Active NPIIndividual providerSole proprietor

Dr. Joseph A Decesare, DPM

Podiatrist in Providence, Rhode Island

NPI Number1104959832
Practice location
201 Broadway, Providence, RI 02903-3015
Fax
401-421-9193
Last updated
August 26, 2011

Joseph A Decesare is a Podiatrist based in Providence, RI. Joseph A Decesare practices in Providence, RI and has the professional credentials of DPM. The NPI Number for Joseph A Decesare is 1104959832 and holds a License No. DPM00240 (RI). The current practice location address for Joseph A Decesare is 201 Broadway, Providence, RI 02903-3015 and can be reached out via phone at 401-421-9167 and via fax at 401-421-9193.

Provider Profile Details

NPI Number
1104959832
Provider Name
Joseph A Decesare
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
201 Broadway, Providence, RI 02903-3015
Phone Number
401-421-9167
Fax Number
401-421-9193
Primary Taxonomy
Podiatrist · 213E00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 13, 2007
Last Update Date
August 26, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 Broadway
Providence, RI 02903-3015
Zip
02903-3015
Phone Number
401-421-9167
Fax Number
401-421-9193
Providence, RI 02903Get directions →

Provider Business Mailing Address Details

Address
201 Broadway
Providence, RI 02903-3015
City
Providence
State
RI
Zip
02903-3015
Phone Number
401-421-9167
Fax Number
401-421-9193

License Information

License Number
DPM00240
License State
RI
Taxonomy
Podiatrist · 213E00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Joseph A Decesare, DPM?

The NPI number of Dr. Joseph A Decesare, DPM is 1104959832. It was assigned on March 13, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Joseph A Decesare, DPM?

Dr. Joseph A Decesare, DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in RI under license number DPM00240.

Where does Dr. Joseph A Decesare, DPM practice?

The practice location is 201 Broadway, Providence, RI 02903-3015. The office can be reached at 401-421-9167 (phone) or 401-421-9193 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104959832 directly on the NPPES registry website.

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