CONCILIO PEDIATRICS
NPI 1063629129
Pediatrics - Adolescent Medicine in Lincoln, RI

Q: What is Concilio Pediatrics's NPI number?

The NPI number for Concilio Pediatrics is 1063629129. It was assigned to this organization in the NPPES registry on May 17, 2007.

Q: What is Concilio Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Active since May 17, 2007

132 OLD RIVER RD, SUITE 203, LINCOLN, RI 02865(401) 334-2949(401) 334-0867 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Concilio Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONCILIO PEDIATRICS (NPI 1063629129) is a healthcare organization registered as an adolescent medicine in Lincoln, Rhode Island and active in the NPI registry since May 2007. The organization lists Amalia Concilio, Manager, as its authorized official.

NPPES Registry Identity

NPI1063629129

Entity TypeOrganization

Primary Taxonomy2080A0000X

Legal Business NameCONCILIO PEDIATRICS

Location Address132 OLD RIVER RD, SUITE 203Lincoln, RI 02865-1161

Mailing Address132 Old River Rd, Suite 203Lincoln, RI 02865-1161 · (401) 334-2949 · Fax (401) 334-0867

Phone(401) 334-2949

Fax(401) 334-0867

Organization SubpartNo

Authorized OfficialAmalia ConcilioManager · (401) 334-2949

Enumeration DateMay 17, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1063629129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in RI · MD08172

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

132 OLD RIVER RD, Lincoln, RI 02865

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DEBORAH E DRAPER OTR/L

Occupational Therapist

132 OLD RIVER RD, SUITE 201
LINCOLN, RI 02865

Providence County (401) 721-5599

GLENDA BYHOUWER LICSW, LCDP, CDCS

Counselor (Addiction (Substance Use Disorder))

132 OLD RIVER RD, SUITE 100
LINCOLN, RI 02865

Providence County (401) 333-2002

NORTHEAST CHILD AND ADOLESCENT PSYCHOLOGICAL SERVICES

Psychologist

132 OLD RIVER RD, SUITE 205
LINCOLN, RI 02865

Providence County (401) 527-8089

RUTH CHEVEZ APRN, FNP-BC

Nurse Practitioner

132 OLD RIVER RD
LINCOLN, RI 02865

Providence County (401) 334-1044

EMERSYN GOETZ

Social Worker (Clinical)

132 OLD RIVER RD, SUITE 100
LINCOLN, RI 02865

Providence County (781) 327-0827

DR. LYNNE WARD VAUDRY

Dentist (General Practice)

132 OLD RIVER RD, SUITE 204
LINCOLN, RI 02865

Providence County (401) 333-1554

DR. GERARDO CONCILIO MD

Pediatrics

132 OLD RIVER RD, SUITE203
LINCOLN, RI 02865

Providence County (401) 334-2949

SARAH HOPP

Counselor (Mental Health)

132 OLD RIVER RD
LINCOLN, RI 02865

Providence County (781) 327-0827

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Concilio Pediatrics's NPI number?

The NPI number for Concilio Pediatrics is 1063629129. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is Concilio Pediatrics located?

Concilio Pediatrics is located at 132 Old River Rd Suite 203, Lincoln, RI 02865. The listed phone number is (401) 334-2949.

What is Concilio Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Concilio Pediatrics was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.