Atlantic Professional Services of Rhode Island Incorporated
Organization Active NPI Hospitalist Physician · Wakefield, RI
NPI 1922036946 · NPPES record last updated Sep 28, 2020
Key facts
- NPI
- 1922036946
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hospitalist Physician 208M00000X
- Legal business name
- ATLANTIC PROFESSIONAL SERVICES OF RHODE ISLAND INCORPORATED
- Practice address
- 100 Kenyon Avenue
Wakefield, RI 02879-4299 - Phone
- (401) 782-8000
- NPI assigned
- Jun 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. David Istvan, M.D.
- Title
- Director
- Phone
- (518) 842-1900
Practitioners 200
-
Farzana Afroza, M.D.
-
Ruhy Afza, M.D
-
Akiyomi O. Fields, M.D.
-
Daniel Glickman, M.D.
-
Thomas Gut, D.O.
-
Marianne Hamra, MD
-
Fritz E Jean Gilles, M.D.
-
Yinphyu W Lwin, M.D
-
Jasparit Minhas, MD
-
Houman Mirtorabi, MD
-
Emmanuel Charles Adomfeh, MD, MPH
-
Raymon Birring, MD
-
Uri Goldberg, M.D.
-
Bassam Hossain, D.O.
-
Sheneen Lalani, DO
-
Matthew Li, MD, MPH
-
Jason Ravidas, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061213000048 | NY | Part B Supplier - Clinic/Group Practice | 6709855737 |
Receives reassigned benefits from 27 practitioners Practice locations: Brooklyn, NY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician |
208M00000X | Yes | ||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
100 Kenyon Avenue
Wakefield, RI 02879-4299
Mailing address
PO Box 635998
Cincinnati, OH 45263-5998
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC9415 | Other | RI | MEDICARE TRAVELERS RR - G |
| 02821543 | Medicaid | NY | |
| 7003615 | Medicaid | RI | |
| 1018847630001 | Medicaid | PA |
Other providers in Wakefield, RI
- Lindsay C Andruchuve
- Thomas P Arcangeli
- Adam Armisto
- Roger Ashley
- James William Assif
- Alexander Balkum
- John Jefferys Bandola
- Emma Joy Banks
- Amy Lee Barker
- Paul F Barratt
All providers in Wakefield, RI · Hospitalist Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.