Individual provider Active NPI

Henry E Laurelli, M.D.

  • Neurological Surgery Physician
  • Warwick, RI
National Provider Identifier
1285873943
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD04379 Issued in RI
Practice address
176 Toll Gate Rd
Suite 203
Warwick, RI 02886-4482
Phone
(401) 739-4988
Fax
(401) 739-4739
NPI assigned
Feb 19, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD04379 RI Primary

Addresses

Primary practice location

176 Toll Gate Rd
Suite 203
Warwick, RI 02886-4482

Mailing address

176 Toll Gate Rd
Suite 203
Warwick, RI 02886-4482
Phone (401) 739-4988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD04379RIMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean State Neurosurgery, LLC Neurological Surgery Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1285873943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 TOLL GATE RD",
            "address_2": "SUITE 203",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864482",
            "telephone_number": "401-739-4988",
            "fax_number": "401-739-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 TOLL GATE RD",
            "address_2": "SUITE 203",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864482",
            "telephone_number": "401-739-4988",
            "fax_number": "401-739-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURELLI",
        "first_name": "HENRY",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "RI",
            "license": "MD04379",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 19, 2009; 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.