JOHN MCGONIGLE MD LLC
NPI 1396320057
Family Medicine in East Providence, RI

Q: What is John Mcgonigle MD LLC's NPI number?

The NPI number for John Mcgonigle MD LLC is 1396320057. It was assigned to this organization in the NPPES registry on March 15, 2021.

Q: What is John Mcgonigle MD LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 15, 2021CLIA 41D1101912 · Waiver

201 WATERMAN AVE, EAST PROVIDENCE, RI 02914(401) 572-3300(401) 572-3301 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About John Mcgonigle Md Llc NPPES

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

JOHN MCGONIGLE MD LLC (NPI 1396320057) is a healthcare organization registered as a family medicine in East Providence, Rhode Island and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through July 7, 2027 and lists John Mcgonigle, Physician/ Owner, as its authorized official.

NPPES Registry Identity

NPI1396320057

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameJOHN MCGONIGLE MD LLC

Location Address201 WATERMAN AVEEast Providence, RI 02914-3522

Mailing Address201 Waterman AveEast Providence, RI 02914-3522 · (401) 572-3300 · Fax (401) 572-3301

Phone(401) 572-3300

Fax(401) 572-3301

Organization SubpartNo

Authorized OfficialJohn McgoniglePhysician/ Owner · (401) 572-3300

Enumeration DateMarch 15, 2021

NPPES CertifiedMarch 15, 2021

✔ NPI 1396320057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

201 WATERMAN AVE, East Providence, RI 02914

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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

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 41D1101912

John Mcgonigle MD · East Providence, RI

Active · expires Jul 7, 2027

CLIA Number41D1101912

Laboratory TypePhysician Office

Certificate Effective DateJuly 8, 2025

Certificate Expiration DateJuly 7, 2027

Laboratory DirectorJohn Mcgonigle MD

Laboratory Phone(401) 447-2464

Laboratory LocationJohn Mcgonigle MD201 Waterman Ave, East Providence, RI 02914

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

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