Organization Active NPI

University Neurology Associates, LLC

  • Specialist
  • Cranston, RI
National Provider Identifier
1801989629
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
UNIVERSITY NEUROLOGY ASSOCIATES, LLC
Practice address
725 Reservoir Ave
Suite 308
Cranston, RI 02910-4448
Phone
(401) 944-9559
Fax
(401) 944-7501
NPI assigned
Oct 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joseph V Centofanti, MDNPI 1154360543
Title
Owner
Phone
(401) 944-9559

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
Specialist 174400000X NU Primary

Addresses

Primary practice location

725 Reservoir Ave
Suite 308
Cranston, RI 02910-4448

Mailing address

725 Reservoir Ave
Suite 308
Cranston, RI 02910-4448
Phone (401) 944-9559

National Provider Directory

National Provider Directory

Locations

1351 S County Trl
Ste 115
East Greenwich, RI 02818
Phone (401) 884-0333

Practitioners & affiliated clinicians

Practitioners 1

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801989629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE",
            "address_2": "SUITE 308",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104448",
            "telephone_number": "401-944-9559",
            "fax_number": "401-944-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE",
            "address_2": "SUITE 308",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104448",
            "telephone_number": "401-944-9559",
            "fax_number": "401-944-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY NEUROLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CENTOFANTI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-944-9559",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "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 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.

Verify at the official NPI Registry.