Organization Active NPI

Kent Cardiology Assoc Inc

  • Cardiovascular Disease Physician
  • Warwick, RI
National Provider Identifier
1285791640
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD07326 Issued in RI
Legal business name
KENT CARDIOLOGY ASSOC INC
Practice address
390 Toll Gate Rd
Suite 202
Warwick, RI 02886-4326
Phone
(401) 739-7210
Fax
(401) 738-6999
NPI assigned
Jan 3, 2007
Last updated
Sep 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Authorized official

Name
Dr. Edward S Thomas, MDNPI 1154327245
Title
President
Phone
(401) 739-7210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X MD07326 RI Primary

Addresses

Primary practice location

390 Toll Gate Rd
Suite 202
Warwick, RI 02886-4326

Mailing address

390 Toll Gate Rd #202
Warwick, RI 02886
Phone (401) 739-7210

Other identifiers 1

IdentifierTypeStateIssuer
KC31376MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080616000431 RI Part B Supplier - Clinic/Group Practice 3173694361 Receives reassigned benefits from 1 practitioner
Practice locations: Warwick, RI

National Provider Directory

National Provider Directory

Locations

390 Toll Gate Rd
Ste 202
Warwick, RI 02886
Phone (401) 737-2117

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1285791640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 TOLL GATE RD #202",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "02886",
            "telephone_number": "401-739-7210",
            "fax_number": "401-738-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 TOLL GATE RD",
            "address_2": "SUITE 202",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864326",
            "telephone_number": "401-739-7210",
            "fax_number": "401-738-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT CARDIOLOGY ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-739-7210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "RI",
            "license": "MD07326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "KC31376",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.