Organization Active NPI

Toll Gate Radiology Inc

  • Diagnostic Radiology Physician
  • Warwick, RI
National Provider Identifier
1881604940
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
RAD0066 Issued in RI
Legal business name
TOLL GATE RADIOLOGY INC
Practice address
300 Toll Gate Rd
Ste 101a, Ste 102
Warwick, RI 02886-4416
Phone
(401) 738-3100
Fax
(401) 738-8505
NPI assigned
Aug 9, 2006
Last updated
Dec 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Authorized official

Name
Dr. Anthony G Bruzzese, MDNPI 1063422087
Title
President
Phone
(401) 738-3100

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 8

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X RAD0066 RI
Neuroradiology Physician 2085N0700X RAD0066 RI
Nuclear Radiology Physician 2085N0904X RAD0066 RI
Pediatric Radiology Physician 2085P0229X RAD0066 RI
Diagnostic Radiology Physician 2085R0202X RAD0066 RI Primary
Vascular & Interventional Radiology Physician 2085R0204X RAD0066 RI
Diagnostic Ultrasound Physician 2085U0001X RAD0066 RI
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X RAD0066 RI

Addresses

Primary practice location

300 Toll Gate Rd
Ste 101a, Ste 102
Warwick, RI 02886-4416

Mailing address

215 Toll Gate Rd
Ste 109
Warwick, RI 02886-4458
Phone (401) 738-3100

Other identifiers 12

IdentifierTypeStateIssuer
50356624OtherRIUNICARE LIFE AND HLTH INS
703058OtherRITUFTS HEALTH PLAN
68453OtherRICIGNA
1570-5OtherRIBCBS KENT HOSP PROVIDER N
2188604OtherRIAETNA OFFICE PROVIDER NO
1198-5OtherRIBCBS OFFICE PROVIDER NO
2203OtherRINEIGHBORHOOD H PLAN PROVI
9001198MedicaidRI
1742251OtherRIUNITED HEALTHCARE
5144133OtherRIAETNA KENT HOSPITAL PROV
9001570MedicaidRI
CD2379OtherRIRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

215 Toll Gate Rd
Warwick, RI 02886
Phone (401) 738-3100

215 Toll Gate Rd
Ste 110
Warwick, RI 02886

300 Toll Gate Rd
Ste 101A
Warwick, RI 02886
Phone (401) 732-1860

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1881604940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 TOLL GATE RD",
            "address_2": "STE 109",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864458",
            "telephone_number": "401-738-3100",
            "fax_number": "401-738-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TOLL GATE RD",
            "address_2": "STE 101A, STE 102",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864416",
            "telephone_number": "401-738-3100",
            "fax_number": "401-738-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLL GATE RADIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "BRUZZESE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-738-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "RI",
            "license": "RAD0066",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "RI",
            "license": "RAD0066",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "RI",
            "license": "RAD0066",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "RI",
            "license": "RAD0066",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "RAD0066",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "RI",
            "license": "RAD0066",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "RI",
            "license": "RAD0066",
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "RI",
            "license": "RAD0066",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE LIFE AND HLTH INS",
            "identifier": "50356624",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "703058",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "68453",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KENT HOSP PROVIDER N",
            "identifier": "1570-5",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA OFFICE PROVIDER NO",
            "identifier": "2188604",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OFFICE PROVIDER NO",
            "identifier": "1198-5",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD H PLAN PROVI",
            "identifier": "2203",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9001198",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1742251",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA KENT HOSPITAL PROV",
            "identifier": "5144133",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9001570",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD2379",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.