NPIMap

Organization Active NPI

Nes Rhode Island, Inc.

  • Emergency Medicine Physician
  • North Providence, RI
National Provider Identifier
1730160151
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
NES RHODE ISLAND, INC.
Practice address
200 High Service Ave
Our Lady of Fatima Hospital
North Providence, RI 02904-5113
Phone
(401) 456-3000
Fax
(401) 456-3402
NPI assigned
Nov 11, 2005
Last updated
Apr 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Serge Martial
Title
Director
Phone
(800) 377-8721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

200 High Service Ave
Our Lady of Fatima Hospital
North Providence, RI 02904-5113

Mailing address

PO Box 198928
Atlanta, GA 30384-8928
Phone (800) 377-8721

Other identifiers 2

IdentifierTypeStateIssuer
9003682MedicaidRI
DC3452OtherRIRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1730160151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198928",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848928",
            "telephone_number": "800-377-8721",
            "fax_number": "304-697-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGH SERVICE AVE",
            "address_2": "OUR LADY OF FATIMA HOSPITAL",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029045113",
            "telephone_number": "401-456-3000",
            "fax_number": "401-456-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NES RHODE ISLAND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "MARTIAL",
        "authorized_official_first_name": "SERGE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "800-377-8721"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9003682",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC3452",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.