Physician Compare National (NPI:1356323067)

HEALTHCARE PROVIDER: PHILIP W ZINGALE PA-C

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1356323067
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9234234899
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070410000681
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ZINGALE
	Individual professional last name
Provider First Name	PHILIP
	Individual professional first name
Provider Middle Name	W
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	PA
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1980
	Individual professional's medical school graduation year
Primary Specialty	PHYSICIAN ASSISTANT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PROSPECT CHARTERCARE PHYSICIANS LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0840416657
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	66
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1524 ATWOOD AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 44
	Group Practice or individual's line 2 address
City	JOHNSTON
	Group Practice or individual's city
State	RI
	Group Practice or individual's state
Zip Code	029193228
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4012729880
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	410005
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	OUR LADY OF FATIMA HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y