Active NPI
Quadri Medical
- Internal Medicine Physician
- Swansea, MA
National Provider Identifier
1407185606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- QUADRI MEDICAL
- Practice address
- 2045 Grand Army Hwy
Swansea, MA 02777-3932 - Phone
- (508) 379-9700
- NPI assigned
- Dec 17, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Syed M Quadri, MD
- Title
- President
- Phone
- (401) 316-5684
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA | Primary | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MA |
Addresses
Primary practice location
2045 Grand Army Hwy
Swansea, MA 02777-3932
Mailing address
PO Box 9135
Brookline, MA 02446-9135
Phone (603) 893-9784
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407185606 | Other | MA | BCBS |
| QU79574 | Medicaid | RI | |
| 110084579A | Medicaid | MA | |
| 1407185606 | Other | RI | BLUE SHIELD |
Other names 1
- Quadri Medical LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294963200000",
"number": "1407185606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9135",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024469135",
"telephone_number": "603-893-9784",
"fax_number": "603-089-3888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2045 GRAND ARMY HWY",
"city": "SWANSEA",
"state": "MA",
"postal_code": "027773932",
"telephone_number": "508-379-9700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUADRI MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-17",
"last_updated": "2011-01-14",
"status": "A",
"authorized_official_last_name": "QUADRI",
"authorized_official_first_name": "SYED",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "401-316-5684",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MA",
"license": null,
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1407185606",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "QU79574",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110084579A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "1407185606",
"state": "RI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Quadri Medical LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Swansea, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.