Organization Active NPI

Ocean State Primary, LLC

  • Family Nurse Practitioner
  • Warwick, RI
National Provider Identifier
1154807717
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.