NPIMap

Organization Active NPI

Egp Inc

Doing business as East Greenwich Pediatrics

  • Pediatrics Physician
  • East Greenwich, RI
National Provider Identifier
1184713646
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
EGP INC
Doing business as
East Greenwich Pediatrics
Practice address
1377 S County TRL
Suite 2B
East Greenwich, RI 02818-5082
Phone
(401) 884-8900
Fax
(401) 884-9199
NPI assigned
Oct 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Diane M Dicola
Title
Office Manager
Phone
(401) 884-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

1377 S County TRL
Suite 2B
East Greenwich, RI 02818-5082

Mailing address

1377 S County TRL
Suite 2B
East Greenwich, RI 02818-5082
Phone (401) 884-8900

Other names 1

  • East Greenwich Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
41D0911510Egp, Inc1377 South County Trail, East Greenwich, RI 02818Certificate of waiverApr 8, 2028

National Provider Directory

National Provider Directory

Locations

1377 S County Trl
Ste 2B
East Greenwich, RI 02818
Phone (401) 884-8900

Practitioners & affiliated clinicians

Practitioners 7

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": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184713646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 S COUNTY TRL",
            "address_2": "SUITE 2B",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028185082",
            "telephone_number": "401-884-8900",
            "fax_number": "401-884-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1377 S COUNTY TRL",
            "address_2": "SUITE 2B",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028185082",
            "telephone_number": "401-884-8900",
            "fax_number": "401-884-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DICOLA",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "401-884-8900"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Greenwich Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Greenwich, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.