Active NPI
Ocean Orthopedic Services, Inc.
- Prosthetic/Orthotic Supplier
- Pawtucket, RI
National Provider Identifier
1063607752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 335E00000X
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9007589 | Medicaid | RI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot Surgery Podiatrist
- Pawtucket, RI
- NPI 1285690610
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.