Organization Active NPI

East Coast Primary Care, Inc.

  • Internal Medicine Physician
  • North Smithfield, RI
National Provider Identifier
1619954104
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EAST COAST PRIMARY CARE, INC.
Practice address
63 Eddie Dowling Hwy
Suite 3
North Smithfield, RI 02896-7322
Phone
(401) 766-8200
NPI assigned
Dec 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Afshin Nasseri, MD
Title
Owner
Phone
(401) 766-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

63 Eddie Dowling Hwy
Suite 3
North Smithfield, RI 02896-7322

Mailing address

63 Eddie Dowling Hwy
Suite 3
North Smithfield, RI 02896-7322
Phone (401) 766-8200

Other identifiers 1

IdentifierTypeStateIssuer
AN49563MedicaidRI

National Provider Directory

National Provider Directory

Locations

2 Wake Robin Rd
Ste 208
Lincoln, RI 02865
Phone (401) 475-7650

300 Toll Gate Rd
Ste 303
Warwick, RI 02886
Phone (401) 737-1188

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619954104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 EDDIE DOWLING HWY",
            "address_2": "SUITE 3",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028967322",
            "telephone_number": "401-766-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 EDDIE DOWLING HWY",
            "address_2": "SUITE 3",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028967322",
            "telephone_number": "401-766-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST PRIMARY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NASSERI",
        "authorized_official_first_name": "AFSHIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-766-8200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN49563",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Smithfield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.