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DRS. CONCANNON AND VITALE, LLC
NPI 1366402018
Pediatrics in Cranston, RI

Active since March 26, 2006CLIA 41D0083835 · Waiver
1145 RESERVOIR AVE, SUITE 124, CRANSTON, RI 02920(401) 943-7337(401) 942-1509 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2025, Dec 16, 2022 (2 updates tracked since 2022).

About Drs. Concannon And Vitale, Llc NPPES

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

DRS. CONCANNON AND VITALE, LLC (NPI 1366402018), doing business as Atlantic Pediatrics, is a healthcare organization registered as a pediatrics in Cranston, Rhode Island and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through October 31, 2027 and lists John E Concannon, Senior Partner, as its authorized official.

NPPES Registry Identity

NPI1366402018
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDRS. CONCANNON AND VITALE, LLC
Location Address1145 RESERVOIR AVE, SUITE 124Cranston, RI 02920-6055
Mailing Address1145 Reservoir Ave, Suite 124Cranston, RI 02920-6055 · (401) 943-7337 · Fax (401) 942-1509
Phone(401) 943-7337
Fax(401) 942-1509
Organization SubpartNo
Authorized OfficialJohn E ConcannonSenior Partner · (401) 943-7337
Enumeration DateMarch 26, 2006
Last NPPES UpdateAugust 13, 20252 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1366402018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in RI · DO-357
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1145 RESERVOIR AVE, Cranston, RI 02920
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Other Names 2

Doing Business AsAtlantic Pediatrics
Former Legal Business NameDrs. Concannon & Vitale, Llc

Other Identifiers 1

Medicaid601200661RI

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 41D0083835

Drs Concannon & Vitale LLC · Cranston, RI
Active · expires Oct 31, 2027
CLIA Number41D0083835
Laboratory TypePractitioner Other
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorColleen Vitale
Laboratory Phone(401) 943-7337
Laboratory LocationDrs Concannon & Vitale LLC1145 Reservoir Avenue Suite 124, Cranston, RI 02920
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. HARVEY D. RAPPOPORT PC
Optometrist
1145 RESERVOIR AVE, SUITE #117
CRANSTON, RI 02920
Providence County (401) 943-3082
DR. JAMES KENNETH CARDI M.D.
Internal Medicine
1145 RESERVOIR AVE
CRANSTON, RI 02920
Providence County (401) 942-6500
KARDOUS PRIMARY CARE INC
Internal Medicine
1145 RESERVOIR AVE, STE 301
CRANSTON, RI 02920
Providence County (401) 946-5001
LISA A VALERIO LCMT,CNMT
Mechanotherapist
1145 RESERVOIR AVE, SUITE 300
CRANSTON, RI 02920
Providence County (401) 943-2500
JOSEPH PATRICK MORGANTI DMD
Dentist (Endodontics)
1145 RESERVOIR AVE, SUITE 225
CRANSTON, RI 02920
Providence County (401) 943-7714
MR. MICHAEL JOHN MARTINO PA-C
Physician Assistant
1145 RESERVOIR AVE
CRANSTON, RI 02920
Providence County (401) 942-6500
MS. KIRA E PROVOST RN, LCMT
Registered Nurse
1145 RESERVOIR AVE, SUITE 300
CRANSTON, RI 02920
Providence County (401) 943-2500
DR. MAURA BRIDGETT REYNOLDS DMD
Dentist (Endodontics)
1145 RESERVOIR AVE, SUITE 225
CRANSTON, RI 02920
Providence County (401) 943-7714

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 Drs. Concannon And Vitale, LLC's NPI number?

The NPI number for Drs. Concannon And Vitale, LLC is 1366402018. It was assigned to this organization in the NPPES registry on March 26, 2006. The provider is doing business as Atlantic Pediatrics. The provider was formerly known as Drs. Concannon & Vitale, LLC.

Where is Drs. Concannon And Vitale, LLC located?

Drs. Concannon And Vitale, LLC is located at 1145 Reservoir Ave Suite 124, Cranston, RI 02920. The listed phone number is (401) 943-7337.

What is Drs. Concannon And Vitale, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Drs. Concannon And Vitale, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D0083835) is associated with this NPI, valid through October 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Drs. Concannon And Vitale, LLC was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.