NPIMap

Organization Active NPI

Regenrx, LLC

  • Medical Specialty Clinic/Center
  • Cranston, RI
National Provider Identifier
1780476333
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
REGENRX, LLC
Practice address
650 Oaklawn Ave
Cranston, RI 02920-2811
Phone
(401) 265-6160
NPI assigned
May 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Joyce Mary Martin, DC, FNPNPI 1336299890
Title
Owner
Phone
(401) 265-6160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

650 Oaklawn Ave
Cranston, RI 02920-2811

Mailing address

650 Oaklawn Ave
Cranston, RI 02920-2811
Phone (401) 265-6160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250630003778 RI Part B Supplier - Clinic/Group Practice 4385157676 Receives reassigned benefits from 1 practitioner
Practice locations: Cranston, RI
O20260116002455 MA Part B Supplier - Clinic/Group Practice 4385157676 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, MA

National Provider Directory

National Provider Directory
Tax ID family
Regen RX LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

650 Oaklawn Ave
Cranston, RI 02920
Phone (401) 265-6160

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1780476333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 OAKLAWN AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029202811",
            "telephone_number": "401-265-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 OAKLAWN AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029202811",
            "telephone_number": "401-265-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENRX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-265-6160",
        "authorized_official_credential": "DC, FNP"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 May 20, 2025; 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.