NPIMap

Organization Active NPI

Randy Kozel MD

Doing business as Aquidneck Neurology

  • Neurology Physician
  • Portsmouth, RI
National Provider Identifier
1093998676
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD07702 Issued in RI
Legal business name
RANDY KOZEL MD
Doing business as
Aquidneck Neurology
Practice address
112 Clock Tower SQ
Portsmouth, RI 02871-1396
Phone
(401) 683-9002
Fax
(401) 293-0330
NPI assigned
Dec 6, 2007
Last updated
Feb 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Randy Kozel, MDNPI 1699775486
Title
Owner
Phone
(401) 683-9002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD07702 RI Primary

Addresses

Primary practice location

112 Clock Tower SQ
Portsmouth, RI 02871-1396

Mailing address

112 Clock Tower SQ
Portsmouth, RI 02871-1396
Phone (401) 683-9002

Other identifiers 2

IdentifierTypeStateIssuer
10401OtherRINEIGHBORHOOD HEALTH PLAN
DB8163OtherRAILROAD MEDICARE

Other names 1

  • Aquidneck Neurology Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1093998676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 CLOCK TOWER SQ",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028711396",
            "telephone_number": "401-683-9002",
            "fax_number": "401-293-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 CLOCK TOWER SQ",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028711396",
            "telephone_number": "401-683-9002",
            "fax_number": "401-293-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY KOZEL MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "KOZEL",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-683-9002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "RI",
            "license": "MD07702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "10401",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB8163",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aquidneck Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portsmouth, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.