Organization Active NPI

Ocean State Academy Cranston, LLC

  • Local Education Agency (LEA)
  • Cranston, RI
National Provider Identifier
1700397643
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
OCEAN STATE ACADEMY CRANSTON, LLC
Practice address
1301 Elmwood Ave
Cranston, RI 02910-2204
Phone
(401) 423-4234
NPI assigned
Oct 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Authorized official

Name
Mr. Anthony Joseph Clancy
Title
Director
Phone
(401) 423-4234

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X

Addresses

Primary practice location

1301 Elmwood Ave
Cranston, RI 02910-2204

Mailing address

285 Bloomfield Ave Ste 201
Caldwell, NJ 07006-5144
Phone (973) 287-6094

National Provider Directory

National Provider Directory

Locations

285 Bloomfield Ave
Ste 201
Caldwell, NJ 07006

1301 Elmwood Ave
Cranston, RI 02910
Phone (401) 423-4234

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1700397643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 BLOOMFIELD AVE STE 201",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065144",
            "telephone_number": "973-287-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 ELMWOOD AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029102204",
            "telephone_number": "401-423-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN STATE ACADEMY CRANSTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "CLANCY",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "401-423-4234",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 4, 2021; 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.