East Bay Pediatric & Adolescent Medicine Associates Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

EAST BAY PEDIATRIC & ADOLESCENT MEDICINE ASSOCIATES INC

Practice address

234 Maple Avenue
Barrington, RI 02806

Phone

(401) 247-1644

Fax

(401) 247-4961

NPI assigned

Apr 23, 2007

Last updated

Nov 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela Grenander, MDNPI 1851386189

Title

Owner

Phone

(401) 247-1644

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Angela Grenander, MD

  • Pediatrics Physician
  • Barrington, RI
  • NPI 1851386189
  Medicare reassignment NPD Authorized official
• Marcolino Ferretti, MD

  • Pediatrics Physician
  • Barrington, RI
  • NPI 1922093251
  NPD
• Sara Jeanne McDole, PA-C

  • Pediatric Adolescent Medicine Physician
  • Barrington, RI
  • NPI 1306462502
  NPD
• Ariana Raufi, MD

  • Pediatrics Physician
  • Barrington, RI
  • NPI 1710304001
  NPD
• Jane M Dennison, MD

  • Pediatrics Physician
  • Barrington, RI
  • NPI 1114912441
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1760600266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 MAPLE AVENUE",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "02806",
            "telephone_number": "401-247-1644",
            "fax_number": "401-247-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 MAPLE AVENUE",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "02806",
            "telephone_number": "401-247-1644",
            "fax_number": "401-247-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY PEDIATRIC & ADOLESCENT MEDICINE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "GRENANDER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-247-1644",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Allison Duncan III, MD
• Susan V. Eagleson, RN
• East Bay Center, Inc.
• East Bay Center, Inc.
• East Bay Community Action Program
• Sharron Edwards, REGISTERED NURSE
• Nancy Egan, RN
• Erin M Elliott
• Kimberly Smith Epler, MSW
• Epoch Family Medicine, LLC

• Pediatrics Physician in Barrington, RI
• Providers in Barrington, RI by specialty
• Pediatrics Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.