Active NPI
James Leroy Jr.
- Oral and Maxillofacial Surgery (Dentist)
- Warwick, RI
National Provider Identifier
1447799168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DEN03611
- Practice address
- 222 Jefferson Blvd Ste 301
Warwick, RI 02888-3855 - Phone
- (401) 732-1188
- NPI assigned
- Feb 14, 2017
- Last updated
- Oct 26, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DEN03611 | RI | Primary |
Addresses
Primary practice location
222 Jefferson Blvd Ste 301
Warwick, RI 02888-3855
Mailing address
3 Indian RDG
Bridgewater, MA 02324-2282
Phone (716) 244-0925
Other practice location 1
111 East 210th Street
Montefiore Medical Center, Department of Dentistry
Bronx, NY 10467
Phone (718) 920-4321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181231000149 | NY | Order and Referring Only - Oral Surgery | 4486999026 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN03611 | RI | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Aschaffenburg & English Jr LTD | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oral and Maxillofacial Surgery (Dentist)
- Warwick, RI
- NPI 1093889800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1447799168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 INDIAN RDG",
"city": "BRIDGEWATER",
"state": "MA",
"postal_code": "023242282",
"telephone_number": "716-244-0925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 JEFFERSON BLVD STE 301",
"city": "WARWICK",
"state": "RI",
"postal_code": "028883855",
"telephone_number": "401-732-1188"
}
],
"practiceLocations": [
{
"address_1": "111 East 210th Street",
"address_2": "Montefiore Medical Center, Department of Dentistry",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "10467",
"country_code": "US",
"telephone_number": "718-920-4321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEROY",
"first_name": "JAMES",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-14",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "RI",
"license": "DEN03611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.