Individual provider · Type 1 NPI

Joseph J. Dibernardo, PA-C

Medical Physician Assistant · Providence, RI

NPI number 1497721419 Active

Practice location

164 Summit Ave # C70
Providence, RI 02906-2853

Call (401) 793-4545 Map

Fax (401) 793-7866

Mailing address

15 Lasalle Square
Providence, RI 02903

Other practice locations

  • 455 Toll Gate Rd, Warwick, RI 02886-2770 · (401) 737-7010

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA00321 (RI)

Medical Physician Assistant: Definition to come...

9 other providers at this address

Other medical physician assistant providers in Providence

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About NPI 1497721419

Joseph J. Dibernardo, PA-C's National Provider Identifier is 1497721419, issued on Feb 28, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Providence, RI. The record was last updated on Dec 2, 2025.