Individual provider Active NPI

J S Toder

  • Rheumatology Physician
  • Johnston, RI
National Provider Identifier
1639249956
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD6321 Issued in RI
Practice address
1524 Atwood Ave
Johnston, RI 02919-3228
Phone
(401) 421-6011
Fax
(401) 421-9088
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MD6321 RI Primary

Addresses

Primary practice location

1524 Atwood Ave
Johnston, RI 02919-3228

Mailing address

PO Box 6300
Providence, RI 02940-6300
Phone (401) 421-6011

Other identifiers 7

IdentifierTypeStateIssuer
3200105OtherUNITED HEALTH CARE
9000426MedicaidRI
1136OtherNEIGHBORHOOD HEALTH
774339OtherTUFTS
R10981OtherHEALTHNET
002267OtherBLUE CHIP
4268OtherRI BC

Other names 1

  • Dr. J Scott Toder Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080317000525 RI Practitioner - Rheumatology 3779668629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Albany Medical College of Union University, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toder Rheumatology and Osteoporosis Center, P.C.Group PAC ID 8729304555, 2 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD6321RIMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Toder Rheumatology & Osteoporosis Center, P.C. Rheumatology CurrentSince Feb 1, 2015 Accepting new patients

Locations

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1639249956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6300",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029406300",
            "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",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-421-6011",
            "fax_number": "401-421-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODER",
        "first_name": "J",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "RI",
            "license": "MD6321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "3200105",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000426",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "1136",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "774339",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "R10981",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "002267",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BC",
            "identifier": "4268",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J SCOTT",
            "last_name": "TODER",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Johnston, RI

Sources for this page

Verify at the official NPI Registry.