Pediatrics, Adolescent Medicine
E.P. MENNILLO, M.D., INC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1285857219 · enumerated 2007-04-10 · record updated 2020-08-22. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. ROGER MENNILLO M.D., President · (401) 944-8422
Addresses and phones
- Mailing address 994 RESERVOIR AVE, CRANSTON, RI, 02910-5122 (401) 944-8422 Fax (401) 942-6995 Google Maps Apple Maps OpenStreetMap
- Practice location 994 RESERVOIR AVE, CRANSTON, RI, 02910-5122 (401) 944-8422 Fax (401) 942-6995 Google Maps Apple Maps OpenStreetMap
Specialties
- Pediatrics, Adolescent Medicine 2080A0000X · License 03033 RI
- Pediatrics, Adolescent Medicine 2080A0000X · Primary · License 09221 RI
In this directory
RI Providence County Cranston Pediatrics, Adolescent Medicine
Locations and evidence
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Practice location
CRANSTON, RI, 029105122
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.