NPIMap

Organization Active NPI

Neurosurgery Foundation, Inc.

  • Neurological Surgery Physician
  • Providence, RI
National Provider Identifier
1265419972
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NEUROSURGERY FOUNDATION, INC.
Practice address
55 Claverick St
Providence, RI 02903-4144
Phone
(401) 490-4162
NPI assigned
Dec 23, 2005
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
Ellen Matesanz
Title
Practice Administrator
Phone
(401) 490-4143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

55 Claverick St
Providence, RI 02903-4144

Mailing address

55 Claverick St
Providence, RI 02903-4144
Phone (401) 490-4162

National Provider Directory

National Provider Directory

Locations

1 Davol Sq
Ste 302
Providence, RI 02903
Phone (401) 453-3545

55 Claverick St
Providence, RI 02903
Phone (401) 455-1749

593 Eddy St
Bldg 6TH
Providence, RI 02903
Phone (401) 444-8362

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265419972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CLAVERICK ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034144",
            "telephone_number": "401-490-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CLAVERICK ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034144",
            "telephone_number": "401-490-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSURGERY FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATESANZ",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "401-490-4143"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.