Active NPI
Roy Anthony Gayle
- Non-emergency Medical Transport (VAN)
- Pawtucket, RI
National Provider Identifier
1982049128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 2214168
- Practice address
- 164 Cottage St
Pawtucket, RI 02860-3002 - Phone
- (857) 222-9904
- Fax
- (401) 722-1598
- NPI assigned
- May 1, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 2214168 | RI | Primary |
Addresses
Primary practice location
164 Cottage St
Pawtucket, RI 02860-3002
Mailing address
164 Cottage St
Pawtucket, RI 02860-3002
Phone (857) 222-9904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2214168 | RI | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367366400000",
"number": "1982049128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 COTTAGE ST",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028603002",
"telephone_number": "857-222-9904",
"fax_number": "401-722-1598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 COTTAGE ST",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028603002",
"telephone_number": "857-222-9904",
"fax_number": "401-722-1598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAYLE",
"first_name": "ROY",
"middle_name": "ANTHONY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-01",
"last_updated": "2013-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "RI",
"license": "2214168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 1, 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.