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E.P. MENNILLO, M.D., INC
NPI 1285857219
Pediatrics - Adolescent Medicine in Cranston, RI

Active since April 10, 2007
994 RESERVOIR AVE, CRANSTON, RI 02910(401) 944-8422(401) 942-6995 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About E.p. Mennillo, M.d., Inc NPPES

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

E.P. MENNILLO, M.D., INC (NPI 1285857219) is a healthcare organization registered as an adolescent medicine in Cranston, Rhode Island and active in the NPI registry since April 2007. The organization lists Roger Mennillo, President, as its authorized official.

NPPES Registry Identity

NPI1285857219
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameE.P. MENNILLO, M.D., INC
Location Address994 RESERVOIR AVECranston, RI 02910-5122
Mailing Address994 Reservoir AveCranston, RI 02910-5122 · (401) 944-8422 · Fax (401) 942-6995
Phone(401) 944-8422
Fax(401) 942-6995
Organization SubpartNo
Authorized OfficialRoger MennilloPresident · (401) 944-8422
Enumeration DateApril 10, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1285857219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Licenses✔ Licensed in RI · 09221✔ Licensed in RI · 03033
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.
994 RESERVOIR AVE, Cranston, RI 02910
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

RICHARD K OHNMACHT MD LTD
Pediatrics
994 RESERVOIR AVE
CRANSTON, RI 02910
Providence County (401) 946-1944
LINDA MARIE THORNTON
Podiatrist
994 RESERVOIR AVE
CRANSTON, RI 02910
Providence County (401) 946-1155

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 E.P. Mennillo, M.D., Inc's NPI number?

The NPI number for E.P. Mennillo, M.D., Inc is 1285857219. It was assigned to this organization in the NPPES registry on April 10, 2007.

Where is E.P. Mennillo, M.D., Inc located?

E.P. Mennillo, M.D., Inc is located at 994 Reservoir Ave, Cranston, RI 02910. The listed phone number is (401) 944-8422.

What is E.P. Mennillo, M.D., Inc'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 E.P. Mennillo, M.D., Inc 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.