Recovery Connection Medical Services of America Inc

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

RECOVERY CONNECTION MEDICAL SERVICES OF AMERICA INC

Practice address

381 Wickenden St
Providence, RI 02903-4425

Phone

(877) 557-3155

Fax

(401) 490-0905

NPI assigned

Nov 19, 2018

Last updated

Nov 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Regis Burlas, DO

Title

President

Phone

(401) 433-7550

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1841769957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 WICKENDEN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034425",
            "telephone_number": "877-557-3155",
            "fax_number": "401-490-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 WICKENDEN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034425",
            "telephone_number": "877-557-3155",
            "fax_number": "401-490-0905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 N Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Attleboro",
            "state": "MA",
            "postal_code": "027032247",
            "country_code": "US",
            "telephone_number": "877-557-3155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RECOVERY CONNECTION MEDICAL SERVICES OF AMERICA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "BURLAS",
        "authorized_official_first_name": "REGIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-433-7550",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Rebelo, MSPT
• Gayle Rebovich, MD
• Tara-Jean Ann Recasino, MSN, APRN, FNP-BC
• Recovery Connection Centers of America, Inc.
• Recovery Connection Inc
• Deanna Recupero
• Patricia Ryan Recupero, JD, MD
• Ashwin Cherukuru Reddy, MD
• Nishitha Reddy, M.D.
• Nyshidha Gurijala Reddy, MD

• Addiction Medicine (Family Medicine) Physician in Providence, RI
• Providers in Providence, RI by specialty
• Addiction Medicine (Family Medicine) Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.