NPIMap

Organization Active NPI

Roger Williams Medical Center

  • Long Term Care Hospital
  • Providence, RI
National Provider Identifier
1912253675
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
LP02653 Issued in RI
Legal business name
ROGER WILLIAMS MEDICAL CENTER
Practice address
25 Chalkstone Ave
Providence, RI 02908
Phone
(401) 456-2033
NPI assigned
Jul 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Dr. Bernand Zimmermann, M.D.
Title
Program Director
Phone
(401) 456-2033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X LP02653 RI Primary

Addresses

Primary practice location

25 Chalkstone Ave
Providence, RI 02908

Mailing address

1 Regency PLZ
Apt612R
Providence, RI 02903-3158
Phone (310) 593-1523

National Provider Directory

National Provider Directory
Tax ID family
RW Pathology4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1 Regency Plz
Apt 612R
Providence, RI 02903

25 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2033

Practitioners & affiliated clinicians

Practitioners 1

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": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1912253675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 REGENCY PLZ",
            "address_2": "APT612R",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029033158",
            "telephone_number": "310-593-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHALKSTONE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02908",
            "telephone_number": "401-456-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER WILLIAMS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMANN",
        "authorized_official_first_name": "BERNAND",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "401-456-2033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "RI",
            "license": "LP02653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.