Organization Active NPI

Navy

  • Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center
  • Newport, RI
National Provider Identifier
1942543988
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military Ambulatory Procedure Visits Operational (Transportable) Clinic/CenterTaxonomy code 261QM1103X
Legal business name
NAVY
Practice address
43 Smith Rd
Newport, RI 02841-1006
Phone
(631) 745-7381
NPI assigned
Mar 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Authorized official

Name
Omar Santiago Rodas
Title
E2/Ha
Phone
(631) 745-7381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center 261QM1103X Primary

Addresses

Primary practice location

43 Smith Rd
Newport, RI 02841-1006

Mailing address

43 Smith Rd
Newport, RI 02841

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1942543988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 SMITH RD",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "02841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 SMITH RD",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028411006",
            "telephone_number": "631-745-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "RODAS",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "SANTIAGO",
        "authorized_official_title_or_position": "E2/HA",
        "authorized_official_telephone_number": "631-745-7381"
    },
    "taxonomies": [
        {
            "code": "261QM1103X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military Ambulatory Procedure Visits Operational (Transportable)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.