Organization Active NPI

North Providence Medical Services, Inc

  • Urgent Care Clinic/Center
  • North Providence, RI
National Provider Identifier
1992757017
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
MD05562 Issued in RI
Legal business name
NORTH PROVIDENCE MEDICAL SERVICES, INC
Practice address
1637 Mineral Spring Ave
Suite 115
North Providence, RI 02904-4042
Phone
(401) 353-1012
Fax
(401) 353-6362
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Authorized official

Name
Mr. Stephen D'Amato, M.D.
Title
Owner
Phone
(401) 353-1012

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X MD05562 RI Primary
Urgent Care Clinic/Center 261QU0200X MD10188 RI
Durable Medical Equipment & Medical Supplies 332B00000X MD05562 RI

Addresses

Primary practice location

1637 Mineral Spring Ave
Suite 115
North Providence, RI 02904-4042

Mailing address

1637 Mineral Spring Ave
Suite 115
North Providence, RI 02904-4042
Phone (401) 353-1012

National Provider Directory

National Provider Directory

Locations

1637 Mineral Spring Ave
Ste 115
North Providence, RI 02904
Phone (401) 353-0330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1992757017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 MINERAL SPRING AVE",
            "address_2": "SUITE 115",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044042",
            "telephone_number": "401-353-1012",
            "fax_number": "401-353-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 MINERAL SPRING AVE",
            "address_2": "SUITE 115",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044042",
            "telephone_number": "401-353-1012",
            "fax_number": "401-353-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PROVIDENCE MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "D'AMATO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-353-1012",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "RI",
            "license": "MD05562",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "RI",
            "license": "MD10188",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "RI",
            "license": "MD05562",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.