Organization Active NPI

Ocean Orthopedic Services, Inc.

  • Prosthetic/Orthotic Supplier
  • Pawtucket, RI
National Provider Identifier
1063607752
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
335E00000X Issued in RI
Legal business name
OCEAN ORTHOPEDIC SERVICES, INC.
Practice address
333 School St Ste 203
Pawtucket, RI 02860-5336
Phone
(401) 725-5240
Fax
(401) 725-1520
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Elizabeth R. Kelleher
Title
Office MGR.
Phone
(508) 583-8870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 335E00000X RI Primary

Addresses

Primary practice location

333 School St Ste 203
Pawtucket, RI 02860-5336

Mailing address

126 President Ave
Fall River, MA 02720-2649
Phone (508) 672-6887

Other identifiers 1

IdentifierTypeStateIssuer
9007589MedicaidRI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1063607752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 PRESIDENT AVE",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027202649",
            "telephone_number": "508-672-6887",
            "fax_number": "401-725-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SCHOOL ST STE 203",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605336",
            "telephone_number": "401-725-5240",
            "fax_number": "401-725-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN ORTHOPEDIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "KELLEHER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OFFICE MGR.",
        "authorized_official_telephone_number": "508-583-8870",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "RI",
            "license": "335E00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9007589",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.