NPIMap

Organization Active NPI

Jerald I Kupperberg MD,Inc.

  • Pediatrics Physician
  • Foster, RI
National Provider Identifier
1972869428
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
RI 05404 Issued in RI
Legal business name
JERALD I KUPPERBERG MD,INC.
Practice address
54 Howard Hill Rd
Foster, RI 02825-1220
Phone
(401) 397-4638
NPI assigned
Apr 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Jerald I Kupperberg, MD
Title
President
Phone
(401) 397-4638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X RI 05404 RI Primary

Addresses

Primary practice location

54 Howard Hill Rd
Foster, RI 02825-1220

Mailing address

54 Howard Hill Rd
Foster, RI 02825-1220
Phone (401) 397-4638

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1972869428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 HOWARD HILL RD",
            "city": "FOSTER",
            "state": "RI",
            "postal_code": "028251220",
            "telephone_number": "401-397-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 HOWARD HILL RD",
            "city": "FOSTER",
            "state": "RI",
            "postal_code": "028251220",
            "telephone_number": "401-397-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERALD I KUPPERBERG MD,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "KUPPERBERG",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-397-4638",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "RI 05404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foster, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.