Faine SC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

FAS01013 Issued in RI

Legal business name

FAINE SC

Practice address

400 Bald Hill Road
Suite 503
Warwick, RI 02886

Phone

(401) 738-7750

Fax

(401) 738-9750

NPI assigned

Apr 27, 2006

Organization subpart

No

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

Authorized official

Name

Bruce R Werber, DPM

Title

President

Phone

(401) 738-7750

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kent County Surgical Center Doing business as

Locations

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821055567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BALD HILL ROAD",
            "address_2": "SUITE 503",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "02886",
            "telephone_number": "401-738-7750",
            "fax_number": "401-738-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BALD HILL ROAD",
            "address_2": "SUITE 503",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "02886",
            "telephone_number": "401-738-7750",
            "fax_number": "401-738-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAINE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WERBER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-738-7750",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "RI",
            "license": "FAS01013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BS OF RI",
            "identifier": "57219",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCHIP",
            "identifier": "411638",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kent County Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gerald Exil, MD
• Alan Ezovski, LICSW
• Facial and Oral Surgery
• Victoria Ann Fackos, LICSW, LCDCS
• Kevin Charles Fagan, LICSW
• Ana A Faiola
• Dariene Marie Falcon Figueroa
• Allison Ann Falkenberry, MSW
• Donna Fallon, NP
• Diandra Lynn Fallone, PA-C

• Clinic/Center in Warwick, RI
• Providers in Warwick, RI by specialty
• Clinic/Center in Rhode Island

• 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.