Organization Active NPI

LMB Medical LLC

Doing business as Remedy180Center

  • Internal Medicine Physician
  • Pawtucket, RI
National Provider Identifier
1972096923
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1679512354MedicaidRI
1104110030MedicaidRI
1265631972MedicaidRI

Other names 2

  • Remedy180Center Doing business as
  • LMBMedical Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@remedy180center.com Direct

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.