Active NPI
Ocean State Primary Care Center of East Providence Inc
- Family Medicine Physician
- East Providence, RI
National Provider Identifier
1225543754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- OCEAN STATE PRIMARY CARE CENTER OF EAST PROVIDENCE INC
- Practice address
- 450 Veterans Memorial Pkwy Unit 15B
East Providence, RI 02914-5300 - Phone
- (401) 434-3350
- NPI assigned
- Dec 6, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Zuba
- Title
- General Manager
- Phone
- (401) 626-2748
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Adult Health Nurse Practitioner | 363LA2200X |
Addresses
Primary practice location
450 Veterans Memorial Pkwy Unit 15B
East Providence, RI 02914-5300
Mailing address
2130 Mendon Rd Ste 3-333
Cumberland, RI 02864-3844
Phone (401) 353-1012
National Provider Directory
National Provider DirectoryLocations
2130 Mendon Rd
Ste 3333
Cumberland, RI 02864
Phone (401) 235-7310
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Cumberland, RI
- NPI 1619974672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1512518400000",
"number": "1225543754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 MENDON RD STE 3-333",
"city": "CUMBERLAND",
"state": "RI",
"postal_code": "028643844",
"telephone_number": "401-353-1012",
"fax_number": "401-353-6362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 VETERANS MEMORIAL PKWY UNIT 15B",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029145300",
"telephone_number": "401-434-3350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCEAN STATE PRIMARY CARE CENTER OF EAST PROVIDENCE INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-06",
"last_updated": "2017-12-06",
"status": "A",
"authorized_official_last_name": "ZUBA",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "401-626-2748"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.