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

Roodolph Joseph, PA

Individual provider Physician Assistant · NPI 1114499779

Roodolph Joseph, PA is a Physician Assistant in Warwick, Rhode Island. Qualified in 2017, 9 years ago. Practices with Asthma and Allergy Physicians of Rhode Island Inc, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York and Rhode Island.

Years since qualifying
9
Licensed in
NY, RI
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

43 Jefferson Blvd
Warwick, RI 02888-1027
Phone: (401) 941-2830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 525 E 68th St, New York, NY 10065-4870 — (866) 426-7787

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01507 (RI)
Physician Assistant Taxonomy 363A00000X · Licence 023160 (NY)

Record details

NPI number1114499779
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 20, 2018
Last updated in NPPESMarch 6, 2023
Certification dateMarch 6, 2023
Mailing address110 Elm St Fl 3, Providence, RI 02903-4626

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Asthma And Allergy Physicians Of Rhode Island Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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