Renew Med

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

RENEW MED

Practice address

300 Industrial Way, Suite 1
Suite 1
Tiverton, RI 02878

Phone

(401) 222-0463

NPI assigned

Sep 23, 2024

Last updated

Jan 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Dasha Magriby, DNP, FNPNPI 1780199703

Title

Owner

Phone

(401) 477-4477

Specialties & licenses 2

Addresses

Other names 1

• RENEW MED LLC Other name

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Dasha Magriby, DNP, FNP

  • Family Nurse Practitioner
  • Tiverton, RI
  • NPI 1780199703
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1487471322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 INDUSTRIAL WAY, SUITE 1",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "02878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 INDUSTRIAL WAY, SUITE 1",
            "address_2": "SUITE 1",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "02878",
            "telephone_number": "401-222-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW MED",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "MAGRIBY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "DASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-477-4477",
        "authorized_official_credential": "DNP, FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RENEW MED LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RENEW MED LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "RENEW MED LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dena Peltier, PHARMD
• William J Poirier, PT
• Mary Catherine Polk, N.P.
• R J Mignone MD and Associates PC (Stone Bridge Psychiatric Associates PC)
• Ina Frances Raposa, DPT
• Rhode Island CVS Pharmacy, L.L.C. (CVS Pharmacy # 01086)
• Crystal Marie Roberts, LMHC
• Rocky Knoll Group Home, Inc.
• Dennis John Rog, EDD
• Joanna Ross, PH.D.

• Family Nurse Practitioner in Tiverton, RI
• Providers in Tiverton, RI by specialty
• Family Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.