Active NPI
Tanya J. Becker MD, Inc.
- Pediatrics Physician
- Pawtucket, RI
National Provider Identifier
1669819827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD10708
- Legal business name
- TANYA J. BECKER MD, INC.
- Practice address
- 59 Prospect St
Suite C
Pawtucket, RI 02860-4482 - Phone
- (401) 728-9206
- Fax
- (401) 722-6960
- NPI assigned
- May 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tanya Jean Becker, MD
- Title
- Owner/President
- Phone
- (401) 728-9206
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD10708 | RI | Primary |
Addresses
Primary practice location
59 Prospect St
Suite C
Pawtucket, RI 02860-4482
Mailing address
59 Prospect St
Suite C
Pawtucket, RI 02860-4482
Phone (401) 728-9206
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 543748627 | Other | RI | UHC |
| TB55273 | Medicaid | RI | |
| 275263078A | Other | RI | NHP |
| 963015 | Other | RI | CIGNA |
| AA26320 | Other | RI | HP |
| 2011993783 | Other | RI | TRICARE |
| 29029-4 | Other | RI | BCBS |
| 2033621 | Other | RI | FIRST HEALTH |
National Provider Directory
National Provider DirectoryLocations
59 Prospect St
Ste C
Pawtucket, RI 02860
Phone (401) 728-9206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369785600000",
"number": "1669819827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 PROSPECT ST",
"address_2": "SUITE C",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028604482",
"telephone_number": "401-728-9206",
"fax_number": "401-722-6960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 PROSPECT ST",
"address_2": "SUITE C",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028604482",
"telephone_number": "401-728-9206",
"fax_number": "401-722-6960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TANYA J. BECKER MD, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-29",
"last_updated": "2013-05-29",
"status": "A",
"authorized_official_last_name": "BECKER",
"authorized_official_first_name": "TANYA",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "401-728-9206",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "RI",
"license": "MD10708",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "543748627",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TB55273",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "275263078A",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "963015",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HP",
"identifier": "AA26320",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "2011993783",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "29029-4",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2033621",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.