Active NPI
Ocean State Primary, LLC
- Family Nurse Practitioner
- Warwick, RI
National Provider Identifier
1154807717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- OCEAN STATE PRIMARY, LLC
- Practice address
- 300 Toll Gate Rd Ste 101B
Warwick, RI 02886-4447 - Phone
- (401) 921-5855
- NPI assigned
- Jul 17, 2018
- Last updated
- Jul 17, 2018
- 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
- Jennifer Zuba
- Title
- Director of Operations
- Phone
- (401) 626-2748
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | NU | ||
| Nurse Practitioner | 363L00000X | NU | ||
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
300 Toll Gate Rd Ste 101B
Warwick, RI 02886-4447
Mailing address
2130 Mendon Rd Ste 3-333
Cumberland, RI 02864-3844
Phone (401) 353-1012
National Provider Directory
National Provider DirectoryLocations
2130 Mendon Rd
Ste 3333
Cumberland, RI 02864
Phone (401) 235-7310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531785600000",
"number": "1154807717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 MENDON RD STE 3-333",
"city": "CUMBERLAND",
"state": "RI",
"postal_code": "028643844",
"telephone_number": "401-353-1012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 TOLL GATE RD STE 101B",
"city": "WARWICK",
"state": "RI",
"postal_code": "028864447",
"telephone_number": "401-921-5855"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCEAN STATE PRIMARY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-17",
"last_updated": "2018-07-17",
"status": "A",
"authorized_official_last_name": "ZUBA",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "401-626-2748"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
- Ocean State Home Health Care, Inc.
- Ocean State Neurosurgery, LLC
- Ocean State Physical Therapy, Inc.
- Ocean State Podiatry & Associates, LLC
- Ocean State Primary Care LLC
- Ocean State Urgent Care Center of Warwick, LLC
- Oceanside Aesthetics, LLC
- Erica Oconnell
- Odyssey Healthcare Operating B LP (Gentiva)
- Gregg E Oehler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.