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Northern Rhode Island Pediatrics

Organization Active NPI Pediatric Adolescent Medicine Physician · Cumberland, RI

NPI 1215015136 · NPPES record last updated Aug 29, 2010

Key facts

NPI
1215015136
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Adolescent Medicine Physician 2080A0000X
Legal business name
NORTHERN RHODE ISLAND PEDIATRICS
Practice address
2140 Mendon Rd Ste 201
Cumberland, RI 02864-3833
Phone
(401) 334-5437
Fax
(401) 334-3571
NPI assigned
Nov 1, 2006
Organization subpart
No

Authorized official

Name
Lynn Smith, MD
Title
Doctor
Phone
(401) 334-5437

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 2080A0000X Yes

Addresses

Primary practice location

2140 Mendon Rd Ste 201
Cumberland, RI 02864-3833

Mailing address

2140 Mendon Rd Ste 201
Cumberland, RI 02864-3833
Phone (401) 334-5437

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 29, 2010.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283040000000",
    "number": "1215015136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 MENDON RD STE 201",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028643833",
            "telephone_number": "401-334-5437",
            "fax_number": "401-334-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 MENDON RD STE 201",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028643833",
            "telephone_number": "401-334-5437",
            "fax_number": "401-334-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN RHODE ISLAND PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-08-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "401-334-5437",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, RI

All providers in Cumberland, RI · Pediatric Adolescent Medicine Physician in Rhode Island

Sources for this page

Verify at the official NPI Registry.