Active NPI
Veterans Affairs Medical Center
- Exclusive Provider Organization
- Warwick, RI
National Provider Identifier
1790791069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- CSW 00303
- Legal business name
- VETERANS AFFAIRS MEDICAL CENTER
- Practice address
- 132 Northbridge Ave
Warwick, RI 02886-2824 - Phone
- (401) 733-9276
- NPI assigned
- Jul 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daniel F Sullivan, MSW
- Title
- Social Worker
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | CSW 00303 | RI | Primary |
Addresses
Primary practice location
132 Northbridge Ave
Warwick, RI 02886-2824
Mailing address
132 Northbridge Ave
Warwick, RI 02886
Phone (401) 733-9276
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790791069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 NORTHBRIDGE AVE",
"city": "WARWICK",
"state": "RI",
"postal_code": "02886",
"telephone_number": "401-733-9276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 NORTHBRIDGE AVE",
"city": "WARWICK",
"state": "RI",
"postal_code": "028862824",
"telephone_number": "401-733-9276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VETERANS AFFAIRS MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SULLIVAN",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "SOCIAL WORKER",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "RI",
"license": "CSW 00303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.