NPIMap

Organization Active NPI

North Providence Primary Care Assoc Inc

  • Internal Medicine Physician
  • North Providence, RI
National Provider Identifier
1902886757
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
RI 8466 Issued in RI
Legal business name
NORTH PROVIDENCE PRIMARY CARE ASSOC INC
Practice address
1830 Mineral Spring Ave
North Providence, RI 02904-3864
Phone
(401) 351-1900
Fax
(401) 270-3080
NPI assigned
Jan 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Authorized official

Name
Anthony G Farina Jr., MDNPI 1679640767
Title
Owner
Phone
(401) 351-1900

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X RI 8466 RI Primary

Addresses

Primary practice location

1830 Mineral Spring Ave
North Providence, RI 02904-3864

Mailing address

1830 Mineral Spring Ave
North Providence, RI 02904-3864
Phone (401) 351-1900

Other identifiers 2

IdentifierTypeStateIssuer
0406635OtherRIUNITED
232780OtherRIBC BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061116000530 RI Part B Supplier - Clinic/Group Practice 4880607704 Receives reassigned benefits from 15 practitioners
Practice locations: North Providence, RI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
41D0990809North Providence Primary Care Assoc1830 Mineral Spring Avenue, North Providence, RI 02904Certificate of waiverSep 3, 2027

National Provider Directory

National Provider Directory

Locations

1339 Smith St
North Providence, RI 02908
Phone (401) 351-1900

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1902886757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 MINERAL SPRING AVE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029043864",
            "telephone_number": "401-351-1900",
            "fax_number": "401-270-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 MINERAL SPRING AVE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029043864",
            "telephone_number": "401-351-1900",
            "fax_number": "401-270-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PROVIDENCE PRIMARY CARE ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "FARINA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-351-1900",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "RI 8466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "0406635",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "232780",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.