ANTHONY R POTENZA MD NPI 1780687400

NPI Information

NPI: 1780687400
Provider Name: ANTHONY R POTENZA, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
38 HAMLET AVE
WOONSOCKET, RI
ZIP 02895
Phone: (401) 762-0020
Get Directions

Anthony R Potenza, MD is a diagnostic radiology radiology in Woonsocket, RI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Anthony R Potenza, MD NPI is 1780687400. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

38 HAMLET AVE
WOONSOCKET, RI
ZIP 02895-423
Phone: (401) 762-0020
Fax: (401) 762-1819

The enumeration date for this NPI number is 5/27/2005 and was last updated on 9/28/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085U0001X	Radiology	Diagnostic Ultrasound	MD04445	RHODE ISLAND	No
2	2085R0202X	Radiology	Diagnostic Radiology	MD04445	RHODE ISLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3122409	MEDICAID	MASSACHUSETTS
2	37750	OTHER	MASSACHUSETTS	MA LICENSE
3	7000164	MEDICAID	RHODE ISLAND
4	D87178	MEDICARE UPIN
5	007002821	MEDICARE ID-TYPE UNSPECIFIED	RHODE ISLAND
6	007000164	MEDICARE ID-TYPE UNSPECIFIED	RHODE ISLAND
7	MD04445	OTHER	RHODE ISLAND	RI LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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