Coppola Medical Associates, LTD.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD7964 Issued in RI

Legal business name

COPPOLA MEDICAL ASSOCIATES, LTD.

Practice address

174 Armistice Blvd Ste C
Pawtucket, RI 02860-3269

Phone

(401) 725-3520

Fax

(401) 725-3548

NPI assigned

Mar 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Joyce Coppola, MD

Title

Physician

Phone

(401) 725-3520

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1386815892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 ARMISTICE BLVD STE C",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028603269",
            "telephone_number": "401-725-3520",
            "fax_number": "401-725-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 ARMISTICE BLVD STE C",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028603269",
            "telephone_number": "401-725-3520",
            "fax_number": "401-725-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPOLA MEDICAL ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "COPPOLA",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "401-725-3520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD7964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Pawtucket, RI by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.