Organization Active NPI

University Neurology, Inc.

  • Specialist
  • Cranston, RI
National Provider Identifier
1871889899
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
UNIVERSITY NEUROLOGY, INC.
Practice address
725 Reservoir Ave
Suite 308
Cranston, RI 02910-4448
Phone
(401) 944-9559
Fax
(401) 944-7501
NPI assigned
Jun 28, 2011
Last updated
Jun 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Authorized official

Name
Mr. Ferdinand Dator
Title
Billing Manager
Phone
(401) 944-9559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

725 Reservoir Ave
Suite 308
Cranston, RI 02910-4448

Mailing address

725 Reservoir Ave
Suite 308
Cranston, RI 02910-4448
Phone (401) 944-9559

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110824000691 RI Part B Supplier - Clinic/Group Practice 2264602507 Receives reassigned benefits from 3 practitioners
Practice locations: Cranston, RI

National Provider Directory

National Provider Directory

Locations

725 Reservoir Ave
Ste 308
Cranston, RI 02910
Phone (401) 944-9559

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1871889899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE",
            "address_2": "SUITE 308",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104448",
            "telephone_number": "401-944-9559",
            "fax_number": "401-944-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE",
            "address_2": "SUITE 308",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104448",
            "telephone_number": "401-944-9559",
            "fax_number": "401-944-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY NEUROLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "DATOR",
        "authorized_official_first_name": "FERDINAND",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "401-944-9559",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.