Active NPI
Justin Stephen Zeramby, PA-C
- Physician Assistant
- Johnston, RI
National Provider Identifier
1386249860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA01288
- Practice address
- 1524 Atwood Ave Ste 220
Johnston, RI 02919-3288 - Phone
- (401) 272-1900
- NPI assigned
- Dec 2, 2020
- Last updated
- Dec 2, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA01288 | RI | Primary |
Addresses
Primary practice location
1524 Atwood Ave Ste 220
Johnston, RI 02919-3288
Mailing address
167 Usquepaugh Rd
West Kingston, RI 02892-1923
Phone (401) 575-2839
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA01288 | RI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atwood Medical Associates LTD | Current | Accepting new patients |
Locations
1524 Atwood Ave
Ste 220
Johnston, RI 02919
Phone (401) 272-1900
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1386249860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 USQUEPAUGH RD",
"city": "WEST KINGSTON",
"state": "RI",
"postal_code": "028921923",
"telephone_number": "401-575-2839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 ATWOOD AVE STE 220",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029193288",
"telephone_number": "401-272-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZERAMBY",
"first_name": "JUSTIN",
"middle_name": "STEPHEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-02",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "RI",
"license": "PA01288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.