Joseph J Dibernardo, PA-C
Physician Assistant, Medical in Providence, Rhode Island
1497721419- Practice location
- 164 Summit Ave # C70, Providence, RI 02906-2853
- Phone
- 401-793-4545
- Fax
- 401-793-7866
- Last updated
- December 2, 2025
Joseph J Dibernardo is a Physician Assistant, Medical based in Providence, RI. Joseph J Dibernardo practices in Providence, RI and has the professional credentials of PA-C. The NPI Number for Joseph J Dibernardo is 1497721419 and holds a License No. PA00321 (RI). The current practice location address for Joseph J Dibernardo is 164 Summit Ave # C70, Providence, RI 02906-2853 and can be reached out via phone at 401-793-4545 and via fax at 401-793-7866.
Provider Profile Details
- NPI Number
- 1497721419
- Provider Name
- Joseph J Dibernardo
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 164 Summit Ave # C70, Providence, RI 02906-2853
- Phone Number
- 401-793-4545
- Fax Number
- 401-793-7866
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 28, 2006
- Last Update Date
- December 2, 2025
- Certification Date
- December 2, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 164 Summit Ave # C70
Providence, RI 02906-2853 - City
- Providence
- State
- Rhode Island
- Zip
- 02906-2853
- Phone Number
- 401-793-4545
- Fax Number
- 401-793-7866
Provider Business Mailing Address Details
- Address
- 15 Lasalle Square
Providence, RI 02903 - City
- Providence
- State
- RI
- Zip
- 02903
- Phone Number
- 401-444-3239
License Information
- License Number
- PA00321
- License State
- RI
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Joseph J Dibernardo, PA-C?
The NPI number of Joseph J Dibernardo, PA-C is 1497721419. It was assigned on February 28, 2006 and is currently active in the NPPES registry.
What is the specialty of Joseph J Dibernardo, PA-C?
Joseph J Dibernardo, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in RI under license number PA00321.
Where does Joseph J Dibernardo, PA-C practice?
The practice location is 164 Summit Ave # C70, Providence, RI 02906-2853. The office can be reached at 401-793-4545 (phone) or 401-793-7866 (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 1497721419 directly on the NPPES registry website.