Organization Active NPI

Northern Ri Rehab Management Associates LP

Doing business as RHRI Pathology Dept

  • Clinical Pathology/Laboratory Medicine Physician
  • North Smithfield, RI
National Provider Identifier
1285611285
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
02102 Issued in RI
Legal business name
NORTHERN RI REHAB MANAGEMENT ASSOCIATES LP
Doing business as
RHRI Pathology Dept
Practice address
116 Eddie Dowling Hwy
North Smithfield, RI 02896-7327
Phone
(401) 766-0800
Fax
(401) 762-3112
NPI assigned
Dec 30, 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
Stephen Wallbank
Title
Cfo
Phone
(401) 766-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 02102 RI Primary

Addresses

Primary practice location

116 Eddie Dowling Hwy
North Smithfield, RI 02896-7327

Mailing address

196 Cass Ave
Woonsocket, RI 02895-4712
Phone (401) 769-4100

Other identifiers 2

IdentifierTypeStateIssuer
903936OtherMATUFTS HEALTH PLAN (IP)
RH05213MedicaidRI

Other names 1

  • RHRI Pathology Dept Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northern Ri Rehab Management Associates LP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285611285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 CASS AVE",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954712",
            "telephone_number": "401-769-4100",
            "fax_number": "401-765-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 EDDIE DOWLING HWY",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028967327",
            "telephone_number": "401-766-0800",
            "fax_number": "401-762-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN RI REHAB MANAGEMENT ASSOCIATES LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLBANK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "401-766-0800"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "RI",
            "license": "02102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN (IP)",
            "identifier": "903936",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RH05213",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RHRI Pathology Dept",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Smithfield, 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.