NPIMap

Organization Active NPI

Medicine and Long Term Care Associates, LLC

  • Internal Medicine Physician
  • Cranston, RI
National Provider Identifier
1073539227
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
6040 Issued in RI
Legal business name
MEDICINE AND LONG TERM CARE ASSOCIATES, LLC
Practice address
333 Budlong Rd
Cranston, RI 02920-6337
Phone
(401) 943-4530
NPI assigned
Jul 14, 2006
Last updated
Jul 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Authorized official

Name
Hao Yuan Huang, M.D.NPI 1902826316
Title
M.D./Owner
Phone
(401) 943-4530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00420 RI
Physician Assistant 363A00000X PA00144 RI
Medical Physician Assistant 363AM0700X 00220 RI
Internal Medicine Physician 207R00000X 6040 RI Primary
Internal Medicine Physician 207R00000X 12044 RI
Internal Medicine Physician 207R00000X MD03601 RI
Infectious Disease Physician 207RI0200X 12101 RI

Addresses

Primary practice location

333 Budlong Rd
Cranston, RI 02920-6337

Mailing address

333 Budlong Rd
Cranston, RI 02920-6337
Phone (401) 943-4530

Other identifiers 1

IdentifierTypeStateIssuer
9004948MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060828000528 RI Part B Supplier - Clinic/Group Practice 7012911399 Receives reassigned benefits from 26 practitioners
Practice locations: Cranston, RI; Riverside, RI

National Provider Directory

National Provider Directory

Locations

333 Budlong Rd
Cranston, RI 02920
Phone (401) 943-4530

181 Willett Ave
Riverside, RI 02915
Phone (401) 723-0009

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1073539227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 BUDLONG RD",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206337",
            "telephone_number": "401-943-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BUDLONG RD",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206337",
            "telephone_number": "401-943-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE AND LONG TERM CARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "HAO",
        "authorized_official_middle_name": "YUAN",
        "authorized_official_title_or_position": "M.D./OWNER",
        "authorized_official_telephone_number": "401-943-4530",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA00420",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA00144",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "RI",
            "license": "00220",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "6040",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "12044",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD03601",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "RI",
            "license": "12101",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9004948",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.