Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Nickolas Mancini, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1144842253

Dr. Nickolas Mancini, MD is a Pediatric Medicine in Providence, Rhode Island. Graduated from University of Connecticut School of Medicine in 2020, 6 years ago. Practices with Brown Emergency Medicine, a 140-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
6
Trained at
University of Connecticut School of Medicine
Licensed in
RI
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 793-2695
Fax: (401) 444-4165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 263 Farmington Ave, Farmington, CT 06030-0001 — (860) 679-8080

Specialties & licences

Pediatric Emergency Medicine (Pediatrics) Physician (primary) Taxonomy 2080P0204X · Licence MD20000 (RI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1144842253
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 12, 2020
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024
Mailing address125 Whipple St Ste 3, Providence, RI 02908-3258

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Brown Emergency Medicine — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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