Active NPI
LMB Medical LLC
Doing business as Remedy180Center
- Internal Medicine Physician
- Pawtucket, RI
National Provider Identifier
1972096923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- LMB MEDICAL LLC
- Doing business as
- Remedy180Center
- Practice address
- 127 School St
Pawtucket, RI 02860 - Phone
- (401) 475-3040
- NPI assigned
- Jun 13, 2018
- Last updated
- Aug 3, 2020
- 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
- S Malatesta
- Title
- Business MGR
- Phone
- (781) 910-2833
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
127 School St
Pawtucket, RI 02860
Mailing address
127 School St
Pawtucket, RI 02860-5305
Phone (401) 475-3040
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679512354 | Medicaid | RI | |
| 1104110030 | Medicaid | RI | |
| 1265631972 | Medicaid | RI |
Other names 2
- Remedy180Center
- LMBMedical
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@remedy180center.com | Direct |
National Provider Directory
National Provider DirectoryLocations
127 School St
Pawtucket, RI 02860
Phone (401) 475-3040
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- E Providence, RI
- NPI 1245233261
-
- Foot & Ankle Surgery Podiatrist
- Hyannis, MA
- NPI 1114920121
-
- Surgical Physician Assistant
- Clearwater, FL
- NPI 1699865055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596412800000",
"number": "1972096923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 SCHOOL ST",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028605305",
"telephone_number": "401-475-3040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 SCHOOL ST",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "02860",
"telephone_number": "401-475-3040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LMB MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-13",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A",
"authorized_official_last_name": "MALATESTA",
"authorized_official_first_name": "S",
"authorized_official_title_or_position": "BUSINESS MGR",
"authorized_official_telephone_number": "781-910-2833"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1679512354",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104110030",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1265631972",
"state": "RI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@remedy180center.com",
"affiliation": "N",
"endpointDescription": "Office email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "127 School St",
"city": "Pawtucket",
"state": "RI",
"country_code": "US",
"postal_code": "02860",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Remedy180Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "LMBMedical",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "LMBMedical",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.