NPIMap

Organization Active NPI

Interventional and Functional Pain Center

  • Durable Medical Equipment & Medical Supplies
  • Cranston, RI
National Provider Identifier
1881385961
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
INTERVENTIONAL AND FUNCTIONAL PAIN CENTER
Practice address
1150 Reservoir Ave Ste 200
Cranston, RI 02920-6043
Phone
(401) 648-6100
Fax
(401) 732-3741
NPI assigned
May 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Authorized official

Name
Blanki CherubiniNPI 1902232358
Title
Authorized Offical
Phone
(401) 351-6200

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)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1150 Reservoir Ave Ste 200
Cranston, RI 02920-6043

Mailing address

1150 Reservoir Ave Ste 200
Cranston, RI 02920-6043
Phone (401) 648-6100

National Provider Directory

National Provider Directory
Tax ID family
Interventional and Functional Pain Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1150 Reservoir Ave
Ste 200
Cranston, RI 02920
Phone (401) 648-6100

Practitioners & affiliated clinicians

Practitioners 4

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": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1881385961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 RESERVOIR AVE STE 200",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206043",
            "telephone_number": "401-648-6100",
            "fax_number": "401-732-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 RESERVOIR AVE STE 200",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206043",
            "telephone_number": "401-648-6100",
            "fax_number": "401-732-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL AND FUNCTIONAL PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "CHERUBINI",
        "authorized_official_first_name": "BLANKI",
        "authorized_official_title_or_position": "AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "401-351-6200"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "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 May 18, 2023; 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.