Northeast Internal Medicine, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD10628 Issued in RI

Legal business name

NORTHEAST INTERNAL MEDICINE, INC.

Practice address

126 Prospect St
Suite 103
Pawtucket, RI 02860-4476

Phone

(401) 725-8866

Fax

(401) 725-8868

NPI assigned

Jun 7, 2007

Last updated

Mar 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sadia Iftikhar, MDNPI 1730257957

Title

Director

Phone

(401) 725-8866

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Sadia Iftikhar, MD

  • Internal Medicine Physician
  • Pawtucket, RI
  • NPI 1730257957
  Medicare reassignment Care Compare group NPD Authorized official
• Jiaying Wen, M.D.

  • Internal Medicine Physician
  • Pawtucket, RI
  • NPI 1275570921
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1376746156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 PROSPECT ST STE 205",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604429",
            "telephone_number": "401-725-8866",
            "fax_number": "401-725-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PROSPECT ST",
            "address_2": "SUITE 103",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604476",
            "telephone_number": "401-725-8866",
            "fax_number": "401-725-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST INTERNAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "IFTIKHAR",
        "authorized_official_first_name": "SADIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "401-725-8866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD10628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Nico, LCSW
• Niki M Best
• Nna of Rhode Island, Inc. (Fresenius Medical Care of Pawtucket)
• Thomas Edward Noonan, MD
• Vivian Noriega
• Northeast Lead Management
• Norton Wellness
• Andrew A Nowak, MD
• Heather Nowinowski
• NPHC Medical Services

• Internal Medicine Physician in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.