Gateway Professional Group

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

GATEWAY PROFESSIONAL GROUP

Practice address

208 Governor St
Providence, RI 02906-3246

Phone

(401) 490-3563

Fax

(401) 490-3569

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Joyce A Facteau

Title

Credentialing Coordinator

Phone

(401) 724-8400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396844544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 GOVERNOR ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063246",
            "telephone_number": "401-490-3563",
            "fax_number": "401-490-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 GOVERNOR ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063246",
            "telephone_number": "401-490-3563",
            "fax_number": "401-490-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY PROFESSIONAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FACTEAU",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "401-724-8400"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gasper Gasperlin, DO
• Jennifer S Gass, MD
• Gastroenterology Associates Inc
• Kelsey Anne Gately, OTD, OTR/L
• Jonathan Irvine Gates, MD
• Gateways to Change, Inc.
• Emily Gathright, PHD
• Rachel Katherine Gaudet, RN
• Brandon A Gaudiano, PHD
• Andrea Gaul, D.O.

• Exclusive Provider Organization in Providence, RI
• Providers in Providence, RI by specialty
• Exclusive Provider Organization in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.