Active NPI
Greenwich Bay Medical Associates, LLC
- Family Medicine Physician
- Warwick, RI
National Provider Identifier
1912458068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GREENWICH BAY MEDICAL ASSOCIATES, LLC
- Practice address
- 4300 Post Road
Suite 1
Warwick, RI 02818 - Phone
- (401) 889-3669
- NPI assigned
- Oct 24, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jonathan Martin, MD
- Title
- MD/Owner
- Phone
- (401) 889-3669
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
4300 Post Road
Suite 1
Warwick, RI 02818
Mailing address
4300 Post Road
Suite 1
Warwick, RI 02818
Phone (401) 889-3669
National Provider Directory
National Provider DirectoryLocations
4300 Post Rd
Ste 1
East Greenwich, RI 02818
Phone (401) 889-3669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487808000000",
"number": "1912458068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 POST ROAD",
"address_2": "SUITE 1",
"city": "WARWICK",
"state": "RI",
"postal_code": "02818",
"telephone_number": "401-889-3669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 POST ROAD",
"address_2": "SUITE 1",
"city": "WARWICK",
"state": "RI",
"postal_code": "02818",
"telephone_number": "401-889-3669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENWICH BAY MEDICAL ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-24",
"last_updated": "2017-02-23",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "401-889-3669",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.