NPIMap

Organization Active NPI

Aquidneck Podiatry LTD

  • Podiatrist
  • Newport, RI
National Provider Identifier
1164636890
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DPM 00195 Issued in RI
Legal business name
AQUIDNECK PODIATRY LTD
Practice address
55 Memorial Boulevard
Suite 7
Newport, RI 02840-3679
Phone
(401) 846-2800
Fax
(401) 849-4899
NPI assigned
May 10, 2007
Last updated
Feb 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Dr. Brian William Cornell, DPMNPI 1881773018
Title
President Aquidneck Podiatry LTD
Phone
(401) 846-2800

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
Podiatrist 213E00000X DPM 00195 RI Primary

Addresses

Primary practice location

55 Memorial Boulevard
Suite 7
Newport, RI 02840-3679

Mailing address

55 Memorial Boulevard
Suite 7
Newport, RI 02840-3679
Phone (401) 846-2800

Other identifiers 3

IdentifierTypeStateIssuer
2700178OtherRIUNITED HEALTH
9007121MedicaidRI
71215OtherRIBCBS

National Provider Directory

National Provider Directory

Locations

55 Memorial Blvd
Newport, RI 02840
Phone (401) 846-2800

55 Memorial Blvd
Ste 7
Newport, RI 02840
Phone (401) 846-2800

Practitioners & affiliated clinicians

Practitioners 2

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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1164636890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MEMORIAL BOULEVARD",
            "address_2": "SUITE 7",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028403679",
            "telephone_number": "401-846-2800",
            "fax_number": "401-849-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MEMORIAL BOULEVARD",
            "address_2": "SUITE 7",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028403679",
            "telephone_number": "401-846-2800",
            "fax_number": "401-849-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUIDNECK PODIATRY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "CORNELL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT AQUIDNECK PODIATRY LTD",
        "authorized_official_telephone_number": "401-846-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "RI",
            "license": "DPM 00195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "2700178",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9007121",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "71215",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.