Organization Active NPI

Greenwich Bay Medical Associates, LLC

  • Family Medicine Physician
  • Warwick, RI
National Provider Identifier
1912458068
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Feb 23, 2017

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.