Northern Ri Internal Medicine Associates, LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

08729 Issued in RI

Legal business name

NORTHERN RI INTERNAL MEDICINE ASSOCIATES, LTD

Practice address

2138 Mendon Road
Suite 203
Cumberland, RI 02864-3805

Phone

(401) 305-5515

NPI assigned

Sep 20, 2006

Last updated

Jun 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rajeev K Gupta, MDNPI 1659358836

Title

President

Phone

(401) 305-5515

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 1

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.

• Rajeev K Gupta, MD

  • Internal Medicine Physician
  • Cumberland, RI
  • NPI 1659358836
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1912004722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 MENDON ROAD",
            "address_2": "SUITE 203",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028643805",
            "telephone_number": "401-305-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 MENDON ROAD",
            "address_2": "SUITE 203",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028643805",
            "telephone_number": "401-305-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN RI INTERNAL MEDICINE ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "RAJEEV",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-305-5515",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "08729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NR68925",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roxxanne A Newman, LCDP
• Northeast Orthodontic Specialists
• Northern Rhode Island Collaborative
• Northern Rhode Island Pediatrics
• Northern Ri Allergy & Asthma Center
• Faith Norton, LICSW
• Nri Pediatrics PC
• Vincent Nyangena
• Comfort Akuba O'Dell, RN
• Valerie L O'Donnell, LMHC

• Internal Medicine Physician in Cumberland, RI
• Providers in Cumberland, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.