NPIMap

Organization Active NPI

Newport Neurologic and Electrodiagnostic Center PC

  • Neurology Physician
  • Newport, RI
National Provider Identifier
1497994826
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD09160 Issued in RI
Legal business name
NEWPORT NEUROLOGIC AND ELECTRODIAGNOSTIC CENTER PC
Practice address
23 Powel Ave
Newport, RI 02840-2671
Phone
(401) 619-5740
Fax
(401) 619-5742
NPI assigned
Feb 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

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

Authorized official

Name
Dr. Grace A Medeiros, M.D.NPI 1598762551
Title
Owner/President
Phone
(401) 619-5740

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X MD09160 RI Primary

Addresses

Primary practice location

23 Powel Ave
Newport, RI 02840-2671

Mailing address

23 Powel Ave
Newport, RI 02840-2671
Phone (401) 619-5740

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1497994826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 POWEL AVE",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402671",
            "telephone_number": "401-619-5740",
            "fax_number": "401-619-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 POWEL AVE",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402671",
            "telephone_number": "401-619-5740",
            "fax_number": "401-619-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT NEUROLOGIC AND ELECTRODIAGNOSTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "MEDEIROS",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "401-619-5740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "RI",
            "license": "MD09160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.