Organization Active NPI

Enzer & Associates, PC

  • Plastic and Reconstructive Surgery Physician
  • Providence, RI
National Provider Identifier
1871588046
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
7280 Issued in RI
Legal business name
ENZER & ASSOCIATES, PC
Practice address
120 Dudley St
Suite 104
Providence, RI 02905-2436
Phone
(401) 274-4464
Fax
(401) 831-0710
NPI assigned
Sep 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Yoash R Enzer, MDNPI 1538154703
Title
President
Phone
(401) 274-4464

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 7280 RI
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0099X 7280 RI
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X 7280 RI Primary

Addresses

Primary practice location

120 Dudley St
Suite 104
Providence, RI 02905-2436

Mailing address

120 Dudley St
Suite 104
Providence, RI 02905-2436
Phone (401) 274-4464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040224000513 RI Part B Supplier - Clinic/Group Practice 7113813569 Receives reassigned benefits from 1 practitioner
Practice locations: Providence, RI

National Provider Directory

National Provider Directory

Locations

120 Dudley St
Ste 104
Providence, RI 02905
Phone (401) 274-4464

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1871588046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 DUDLEY ST",
            "address_2": "SUITE 104",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052436",
            "telephone_number": "401-274-4464",
            "fax_number": "401-831-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DUDLEY ST",
            "address_2": "SUITE 104",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052436",
            "telephone_number": "401-274-4464",
            "fax_number": "401-831-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENZER & ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ENZER",
        "authorized_official_first_name": "YOASH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-274-4464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "RI",
            "license": "7280",
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "RI",
            "license": "7280",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "RI",
            "license": "7280",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 11, 2025; 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.

Verify at the official NPI Registry.