Active NPIIndividual providerSole proprietor

Thomas Tedeschi

Physician Assistant in Johnston, Rhode Island

NPI Number1114551371
Practice location
1524 Atwood Ave Ste Ll6, Johnston, RI 02919-3228
Fax
—
Last updated
November 11, 2026

Thomas Tedeschi is a Physician Assistant based in Johnston, RI. Thomas Tedeschi practices in Johnston, RI. The NPI Number for Thomas Tedeschi is 1114551371 and holds a License No. PA01565 (RI). The current practice location address for Thomas Tedeschi is 1524 Atwood Ave Ste Ll6, Johnston, RI 02919-3228 and can be reached out via phone at 401-331-7400.

Provider Profile Details

NPI Number
1114551371
Provider Name
Thomas Tedeschi
Provider Entity Type
Individual
Gender
Male
Address
1524 Atwood Ave Ste Ll6, Johnston, RI 02919-3228
Phone Number
401-331-7400
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 26, 2020
Last Update Date
November 11, 2026
Certification Date
November 11, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1524 Atwood Ave Ste Ll6
Johnston, RI 02919-3228
Zip
02919-3228
Phone Number
401-331-7400
Johnston, RI 02919Get directions →

Provider Business Mailing Address Details

Address
1455 Ashland Cir
Norfolk, VA 23509-1203
City
Norfolk
State
VA
Zip
23509-1203
Phone Number
757-567-7479

License Information

License Number (1)
PA01565
License State (1)
RI
Taxonomy (1)
Physician Assistant · 363A00000X · 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 Thomas Tedeschi?

The NPI number of Thomas Tedeschi is 1114551371. It was assigned on February 26, 2020 and is currently active in the NPPES registry.

What is the specialty of Thomas Tedeschi?

Thomas Tedeschi is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in RI under license number PA01565.

Where does Thomas Tedeschi practice?

The practice location is 1524 Atwood Ave Ste Ll6, Johnston, RI 02919-3228. The office can be reached at 401-331-7400 (phone).

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 1114551371 directly on the NPPES registry website.

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