Woodridge Medical Associates

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

License

80110112683 Issued in RI

Legal business name

WOODRIDGE MEDICAL ASSOCIATES

Practice address

351 Budlong Rd
Cranston, RI 02920-6001

Phone

(401) 943-1860

Fax

(401) 943-8952

NPI assigned

Aug 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Betty Jean Potenza

Title

Office Manager

Phone

(401) 943-1860

Specialties & licenses 1

Addresses

Other identifiers 3

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2097/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285748871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 BUDLONG RD",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206001",
            "telephone_number": "401-943-1860",
            "fax_number": "401-943-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 BUDLONG RD",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206001",
            "telephone_number": "401-943-1860",
            "fax_number": "401-943-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODRIDGE MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POTENZA",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "401-943-1860",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "RI",
            "license": "80110112683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9020788",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000049",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000168",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jartu K Wleh, FNP
• Bonnie L Wolfe, MS, PT
• Robert Wolfgang, D.O.
• Timothy John Wood, CCC-SLP
• Colin Matthew Woodard, DO
• Christine Anne Wright, DPT
• WSL Cranston Al Op, LLC
• X-Ray Associates, Inc
• Allison I Yacko, M.S., CCC-SLP
• Ying Yan, LIC. AC.

• Ph.D. Medical Genetics in Cranston, RI
• Providers in Cranston, RI by specialty
• Ph.D. Medical Genetics in Rhode Island

• 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.