Organization Active NPI

Toder Rheumatology & Osteoporosis Center, P.C.

  • Rheumatology Physician
  • Johnston, RI
National Provider Identifier
1609272376
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
TODER RHEUMATOLOGY & OSTEOPOROSIS CENTER, P.C.
Practice address
1524 Atwood Ave
Suite 333
Johnston, RI 02919-3228
Phone
(401) 421-6011
Fax
(401) 421-9088
NPI assigned
Nov 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Authorized official

Name
Kiley Dru Toder, M.D.NPI 1063640225
Title
Vice President
Phone
(401) 421-6011

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
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

1524 Atwood Ave
Suite 333
Johnston, RI 02919-3228

Mailing address

1524 Atwood Ave
Suite 333
Johnston, RI 02919-3228
Phone (401) 421-6011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150313000202 RI Part B Supplier - Clinic/Group Practice 8729304555 Receives reassigned benefits from 2 practitioners
Practice locations: Johnston, RI

National Provider Directory

National Provider Directory

Locations

1524 Atwood Ave
Ste 333
Johnston, RI 02919
Phone (401) 421-6011

Practitioners & affiliated clinicians

Practitioners 2

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": "1415318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1609272376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE",
            "address_2": "SUITE 333",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-421-6011",
            "fax_number": "401-421-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE",
            "address_2": "SUITE 333",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-421-6011",
            "fax_number": "401-421-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODER RHEUMATOLOGY & OSTEOPOROSIS CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-07",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "TODER",
        "authorized_official_first_name": "KILEY",
        "authorized_official_middle_name": "DRU",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "401-421-6011",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.