Organization Active NPI

Gasper Neurology, LTD

  • Neurology Physician
  • Cranston, RI
National Provider Identifier
1629509641
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
00611 Issued in RI
Legal business name
GASPER NEUROLOGY, LTD
Practice address
900 Reservoir Ave Ste 1
Cranston, RI 02910-4453
Phone
(401) 714-0222
Fax
(401) 714-0220
NPI assigned
Mar 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Authorized official

Name
Dr. Mason Gasper, DONPI 1245211788
Title
Owner
Phone
(401) 378-0258

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 00611 RI Primary

Addresses

Primary practice location

900 Reservoir Ave Ste 1
Cranston, RI 02910-4453

Mailing address

900 Reservoir Ave Ste 1
Cranston, RI 02910-4453
Phone (401) 714-0222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180530001826 RI Part B Supplier - Clinic/Group Practice 7012272719 Receives reassigned benefits from 3 practitioners
Practice locations: Cranston, RI

National Provider Directory

National Provider Directory

Locations

900 Reservoir Ave
Cranston, RI 02910
Phone (401) 714-0222

900 Reservoir Ave
Ste 1
Cranston, RI 02910
Phone (401) 714-0222

333 School St
Ste 210A
Pawtucket, RI 02860

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21422/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

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": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573689600000",
    "number": "1629509641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RESERVOIR AVE STE 1",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104453",
            "telephone_number": "401-714-0222",
            "fax_number": "401-714-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 RESERVOIR AVE STE 1",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104453",
            "telephone_number": "401-714-0222",
            "fax_number": "401-714-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASPER NEUROLOGY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2019-11-14",
        "status": "A",
        "authorized_official_last_name": "GASPER",
        "authorized_official_first_name": "MASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-378-0258",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "RI",
            "license": "00611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.