Active NPIIndividual provider

James M Cerullo, PA-C

Physician Assistant in North Providence, Rhode Island

NPI Number1982960696
Practice location
200 High Service Ave, North Providence, RI 02904-5113
Fax
—
Last updated
August 5, 2026

James M Cerullo is a Physician Assistant based in North Providence, RI. James M Cerullo practices in North Providence, RI and has the professional credentials of PA-C. The NPI Number for James M Cerullo is 1982960696 and holds a License No. PA00645 (RI). The current practice location address for James M Cerullo is 200 High Service Ave, North Providence, RI 02904-5113 and can be reached out via phone at 401-456-3000.

Provider Profile Details

NPI Number
1982960696
Provider Name
James M Cerullo
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
200 High Service Ave, North Providence, RI 02904-5113
Phone Number
401-456-3000
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
April 6, 2012
Last Update Date
August 5, 2026
Certification Date
August 5, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 High Service Ave
North Providence, RI 02904-5113
Zip
02904-5113
Phone Number
401-456-3000
North Providence, RI 02904Get directions →

Provider Business Mailing Address Details

Address
125 Whipple Street
3RD Floor
Providence, RI 02908-3258
City
Providence
State
RI
Zip
02908-3258
Phone Number
401-854-2504
Fax Number
401-427-7795

License Information

License Number (1)
PA00645
License State (1)
RI
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License Number (2)
PA4793
License State (2)
MA
Taxonomy (2)
Physician Assistant · 363A00000X

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 James M Cerullo, PA-C?

The NPI number of James M Cerullo, PA-C is 1982960696. It was assigned on April 6, 2012 and is currently active in the NPPES registry.

What is the specialty of James M Cerullo, PA-C?

James M Cerullo, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in RI under license number PA00645.

Where does James M Cerullo, PA-C practice?

The practice location is 200 High Service Ave, North Providence, RI 02904-5113. The office can be reached at 401-456-3000 (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 1982960696 directly on the NPPES registry website.

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