Oceanside Aesthetics, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OCEANSIDE AESTHETICS, LLC

Practice address

300 Toll Gate Rd Ste 203
Warwick, RI 02886-4447

Phone

(401) 384-7501

NPI assigned

Jun 2, 2022

Organization subpart

No

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

Authorized official

Name

Kristina E McAteer, MDNPI 1760607659

Title

Owner

Phone

(401) 413-6375

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristina Eileen McAteer, M.D.

  • Emergency Medicine Physician
  • Providence, RI
  • NPI 1760607659
  Medicare reassignment NPD Authorized official
• Marissa J Quirk, APRN, FNP-C

  • Family Nurse Practitioner
  • Warwick, RI
  • NPI 1467182816
  Medicare reassignment Care Compare group NPD
• Jason Charles Xynellis, PA-C

  • Medical Physician Assistant
  • Providence, RI
  • NPI 1952501942
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1720727274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TOLL GATE RD STE 203",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864447",
            "telephone_number": "401-384-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TOLL GATE RD STE 203",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864447",
            "telephone_number": "401-384-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANSIDE AESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "MCATEER",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-413-6375",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ocean State Physical Therapy, Inc.
• Ocean State Podiatry & Associates, LLC
• Ocean State Primary Care LLC
• Ocean State Primary, LLC
• Ocean State Urgent Care Center of Warwick, LLC
• Erica Oconnell
• Odyssey Healthcare Operating B LP
• Gregg E Oehler, PA
• Oes Home of Ri,Inc/Ethan Place
• Devante Matthew Offutt

• Internal Medicine Physician in Warwick, RI
• Providers in Warwick, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.