Active NPI
David S Gorelick, MD
- Internal Medicine Physician
- Newport, RI
National Provider Identifier
1841297322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD08471
- Practice address
- 50 Memorial Blvd
Aquidneck Medical Associates, Inc
Newport, RI 02840-3587 - Phone
- (401) 847-2290
- Fax
- (401) 849-8446
- NPI assigned
- Jun 30, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Newport, RI
- NPI 1891831764
-
- General Practice Physician
- Providence, RI
- NPI 1407116643
-
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
-
- Obstetrics & Gynecology Physician
- Newport, RI
- NPI 1063632180
-
- Cardiology Technician
- Newport, RI
- NPI 1265652358
-
- Emergency Medicine Physician
- Newport, RI
- NPI 1356441562
-
- Cardiac Rehabilitation Clinic/Center
- East Greenwich, RI
- NPI 1518482389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD08471 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aquidneck Medical Associates, Inc | Current | Accepting new patients | |
| Newport Hospital | Current | Accepting new patients | |
| Newport Hospital | Current | Accepting new patients | |
| Newport Hospital | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| The Miriam Hospital | Past | Accepting new patients |
Locations
11 Friendship St
Newport, RI 02840
Phone (401) 845-1110
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
375 Wampanoag Trl
Riverside, RI 02915
Phone (401) 649-4010
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD08471 | RI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
50 Memorial Blvd
Aquidneck Medical Associates, Inc
Newport, RI 02840-3587
Mailing address
50 Memorial Blvd
Aquidneck Medical Associates, Inc
Newport, RI 02840-3587
Phone (401) 847-2290
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9020235 | Medicaid | RI |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 30, 2015.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448841600000",
"number": "1841297322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 MEMORIAL BLVD",
"address_2": "AQUIDNECK MEDICAL ASSOCIATES, INC",
"city": "NEWPORT",
"state": "RI",
"postal_code": "028403587",
"telephone_number": "401-847-2290",
"fax_number": "401-849-8446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 MEMORIAL BLVD",
"address_2": "AQUIDNECK MEDICAL ASSOCIATES, INC",
"city": "NEWPORT",
"state": "RI",
"postal_code": "028403587",
"telephone_number": "401-847-2290",
"fax_number": "401-849-8446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORELICK",
"first_name": "DAVID",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2015-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD08471",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9020235",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.