Active NPI
Ocean State Urgent Care
- Physician Assistant
- Weymouth, MA
National Provider Identifier
1417326604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00834
- Legal business name
- OCEAN STATE URGENT CARE
- Practice address
- 119 Liberty Bell Cir
Weymouth, MA 02189 - Phone
- (617) 755-1547
- NPI assigned
- Sep 18, 2015
- 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
- Jennifer Zuba, RN
- Title
- Office Manager
- Phone
- (401) 642-2072
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA00834 | RI | Primary |
Addresses
Primary practice location
119 Liberty Bell Cir
Weymouth, MA 02189
Mailing address
2140 Mendon Rd
Cumberland, RI 02864
Phone (401) 642-2072
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442534400000",
"number": "1417326604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 MENDON RD",
"city": "CUMBERLAND",
"state": "RI",
"postal_code": "02864",
"telephone_number": "401-642-2072",
"fax_number": "401-305-3958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 LIBERTY BELL CIR",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "02189",
"telephone_number": "617-755-1547"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCEAN STATE URGENT CARE",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-18",
"last_updated": "2015-09-18",
"status": "A",
"authorized_official_last_name": "ZUBA",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "401-642-2072",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "RI",
"license": "PA00834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.