Custom Specialty Products, LTD.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

15710 Issued in RI

Legal business name

CUSTOM SPECIALTY PRODUCTS, LTD.

Practice address

490 Union Ave
Providence, RI 02909-4808

Phone

(401) 942-1773

Fax

(401) 944-5571

NPI assigned

Apr 2, 2007

Organization subpart

No

Name

Mrs. Barbara McNamara

Title

Ceo & Pres.

Phone

(401) 942-1773

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 10, 2007.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1215058086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 UNION AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029094808",
            "telephone_number": "401-942-1773",
            "fax_number": "401-944-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 UNION AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029094808",
            "telephone_number": "401-942-1773",
            "fax_number": "401-944-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM SPECIALTY PRODUCTS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "MCNAMARA",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CEO & PRES.",
        "authorized_official_telephone_number": "401-942-1773",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "RI",
            "license": "15710",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "RI",
            "license": "15710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME PROVIDER",
            "identifier": "CS29152",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Wayne Curtis, MD
• Virginia Curtis, PMHNP-BC
• Joseph Christopher Cusano, MD
• Grace Cushman, PHD
• Joanne Custodio, CRNA
• Caitlyn Cuthbertson, PT
• Andrea Paola Cuz
• CVT Surgical Group, Inc.
• Sophia Marie Elizabeth Czarnecki, RD
• Stephanie Jo Czech, PH.D.

• All providers in Providence, RI
• Customized Equipment (DME) in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.