Pediatric Endocrinology of Rhode Island

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

11312 Issued in RI

Legal business name

PEDIATRIC ENDOCRINOLOGY OF RHODE ISLAND

Practice address

105 Sockanosset Cross Road
Suite 318
Cranston, RI 02920

Phone

(401) 434-2058

Fax

(401) 633-6854

NPI assigned

Sep 24, 2012

Organization subpart

No

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

Authorized official

Name

Rebecca McEachern, MDNPI 1689628653

Title

Sole Owner/ Medical Director

Phone

(401) 419-8091

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Rebecca McEachern, MD

  • Pediatric Endocrinology Physician
  • Cranston, RI
  • NPI 1689628653
  NPD (past) Authorized official

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1073864591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 AMARAL ST",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029152205",
            "telephone_number": "401-434-2058",
            "fax_number": "401-633-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SOCKANOSSET CROSS ROAD",
            "address_2": "SUITE 318",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "02920",
            "telephone_number": "401-434-2058",
            "fax_number": "401-633-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ENDOCRINOLOGY OF RHODE ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-24",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "MCEACHERN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "SOLE OWNER/ MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "401-419-8091",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "RI",
            "license": "11312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3300486",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PE91323",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul J. Matrullo, DDS, PC
• Gary Roger Paulhus, LMHC
• Dorca Paulino, BACHELORS
• Robert Pearlman, P-C.
• Pediatric Dentistry, LTD.
• Pediatrics and Pediatric Nephrology
• Pedorthic Technologies Inc
• Henrique T Pedro, RPH
• Lorraine Pedro, LCSW
• Victor M Pedro, D.C

• Pediatric Endocrinology Physician in Cranston, RI
• Providers in Cranston, RI by specialty
• Pediatric Endocrinology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.