Active NPI
Claire L Douglass, PA-C
- Physician Assistant
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 025785
- Practice address
- 525 E 68TH St
New York, NY 10065-4870 - Phone
- (212) 746-5454
- NPI assigned
- Sep 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 025785 | NY | Primary |
| Physician Assistant | 363A00000X | PA01702 | RI | |
| Physician Assistant | 363A00000X | PA101031 | MA |
Addresses
Primary practice location
525 E 68TH St
New York, NY 10065-4870
Mailing address
525 E 68TH St
New York, NY 10065-4870
Other practice location 1
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-5174
Other practice location 2
211 Park St
Attleboro, MA 02703-3137
Phone (508) 222-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Kettle Point Ave
East Providence, RI 02914-5375
Phone (401) 626-3900
200 High Service Ave
North Providence, RI 02904-5113
Phone (401) 456-3000
211 Park St
Attleboro, MA 02703-3143
Phone (508) 222-5200
333 School St
Suite 105
Pawtucket, RI 02860-5335
Phone (401) 728-3040
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010
Hospital & facility affiliations
- The Miriam Hospital
- Roger Williams Medical Center
- Sturdy Memorial Hospital
- Rhode Island Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025785 | NY | MD | Massage Therapist |
| PA101031 | MA | MD | Physician Assistant |
| PA01702 | RI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Medical Imaging Inc | Current | Accepting new patients |
Locations
211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200
593 Eddy St
Providence, RI 02903
1 Randall Sq
Providence, RI 02904
Phone (401) 272-5500
125 Metro Center Blvd
Ste 2000
Warwick, RI 02886
Phone (401) 432-2520
Interoperability endpoints
- cld2009@direct.nyp.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Warwick, RI
- NPI 1205874930
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Providence, RI
- NPI 1013332014
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Attleboro, MA
- NPI 1730106162
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1407463144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 E 68TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100654870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 E 68TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100654870",
"telephone_number": "212-746-5454"
}
],
"practiceLocations": [
{
"address_1": "593 Eddy St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029034923",
"country_code": "US",
"telephone_number": "401-444-5174",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "211 Park St",
"address_purpose": "LOCATION",
"city": "Attleboro",
"state": "MA",
"postal_code": "027033137",
"country_code": "US",
"telephone_number": "508-222-5200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOUGLASS",
"first_name": "CLAIRE",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-27",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "025785",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "RI",
"license": "PA01702",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA101031",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.