Active NPI
Christopher W Ley MD, Inc
- Internal Medicine Physician
- Providence, RI
National Provider Identifier
1861621294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD06618
- Legal business name
- CHRISTOPHER W LEY MD, INC
- Practice address
- 148 W River St
Suite 22B
Providence, RI 02904-2615 - Phone
- (401) 572-3887
- Fax
- (401) 865-6192
- NPI assigned
- Jul 7, 2009
- 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
- Dr. Christopher Walker Ley, MD
- Title
- President
- Phone
- (401) 572-3887
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD06618 | RI | Primary |
Addresses
Primary practice location
148 W River St
Suite 22B
Providence, RI 02904-2615
Mailing address
148 W River St
Suite 22B
Providence, RI 02904-2615
Phone (401) 572-3887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD06618 | Other | RI | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
148 W River St
Ste 22B
Providence, RI 02904
Phone (401) 572-3887
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.
-
- Internal Medicine Physician
- Providence, RI
- NPI 1598752024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326844800000",
"number": "1861621294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 W RIVER ST",
"address_2": "SUITE 22B",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029042615",
"telephone_number": "401-572-3887",
"fax_number": "401-865-6192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 W RIVER ST",
"address_2": "SUITE 22B",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029042615",
"telephone_number": "401-572-3887",
"fax_number": "401-865-6192"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTOPHER W LEY MD, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-07",
"last_updated": "2012-01-18",
"status": "A",
"authorized_official_last_name": "LEY",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "WALKER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "401-572-3887",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD06618",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MD06618",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.