Efe E Cudjoe, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Providence, RI
NPI 1215565189 · NPPES record last updated Jun 3, 2024
Key facts
- NPI
- 1215565189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- MD19930 (RI)
- Practice address
- 101 Dudley St
Providence, RI 02905-2401 - Phone
- (401) 274-1122
- Fax
- (401) 459-0100
- NPI assigned
- Mar 27, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240625002426 | RI | Practitioner - Obstetrics/Gynecology | 0244652014 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Physicians LLC | Current |
Accepting new patients | |
| Affinity Physicians LLC. | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
101 Dudley St
Providence, RI 02905
Phone (401) 453-7950
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD19930 | RI | Yes |
Addresses
Primary practice location
101 Dudley St
Providence, RI 02905-2401
Mailing address
455 Toll Gate Rd
Warwick, RI 02886-2759
Other providers in Providence, RI
- Milagros Cruz
- David Cruzate
- Susan Cu Uvin
- Kara Cucinotta
- Lia Rose Cucinotta
- Miguel H Cuellar
- Carlos Cuello
- Jennifer Cueto
- Carlos Eduardo Cueva Vertiz
- Zhu Jenny Cui
All providers in Providence, RI · Obstetrics & Gynecology Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.