Organization Active NPI

Dr. Tadeusz Sztykowski Inc.

Doing business as Centers for Integrative Medicine and Healing

  • Acupuncturist
  • Providence, RI
National Provider Identifier
1780061796
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
DA00020 Issued in RI
Legal business name
DR. TADEUSZ SZTYKOWSKI INC.
Doing business as
Centers for Integrative Medicine and Healing
Practice address
191 Nashua St
Providence, RI 02904-1871
Phone
(401) 633-0197
NPI assigned
Apr 28, 2015
Last updated
Apr 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Authorized official

Name
Stephen Merrill
Title
Ceo
Phone
(401) 434-3550

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NPP37330 RI
Acupuncturist 171100000X DA00020 RI Primary
Family Medicine Physician 207Q00000X MD07650 RI

Addresses

Primary practice location

191 Nashua St
Providence, RI 02904-1871

Mailing address

191 Nashua St
Providence, RI 02904-1871
Phone (401) 633-0197

Other identifiers 6

IdentifierTypeStateIssuer
1639165004OtherRINPI
412888OtherRIBLUE CHIP
1548391824OtherRINPI
1972566396OtherRINPI
29913-0OtherRIBCBS OF RI
7058016MedicaidRI

Other names 1

  • Centers for Integrative Medicine and Healing Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1780061796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 NASHUA ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041871",
            "telephone_number": "401-633-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 NASHUA ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041871",
            "telephone_number": "401-633-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TADEUSZ SZTYKOWSKI INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "MERRILL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "401-434-3550"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "NPP37330",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "RI",
            "license": "DA00020",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD07650",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639165004",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "412888",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548391824",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1972566396",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF RI",
            "identifier": "29913-0",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7058016",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centers for Integrative Medicine and Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.