MRS. MERYL G GOLDHABER (NPI# 1326033242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326033242 |
| Entity Type | Individual |
| Full Name | MRS. MERYL G GOLDHABER |
| Credential | MD |
| Practice Address |
227 Centerville Rd Warwick RI 02886-4394 |
| Practice Telephone | 4017323332 |
| Practice Fax Number | 4017390196 |
| Mailing Telephone | 4017323332 |
| Mailing Fax Number | 4017390196 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2008-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | MD10336 | RI | Other Service Providers |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
10336 | RI | Allopathic & Osteopathic Physicians |
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
10336 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | CHAMPUS | 050513332 | 01 |
| RI | CIGNA | 5986974001 | 01 |
| RI | UNITED HEALTH CARE | 050513332 | 01 |
| RI | AETNA | 2499541 | 01 |
| RI | 7008535 | 05 | |
| RI | RAILROAD MEDICARE | 130026411 | 01 |
| RI | BLUE CHIP | 407238 | 01 |
| RI | PILGRIM | AA2917 | 01 |
| ID | TUFTS | 103360 | 01 |
| RI | NPI | 1326033242 | 01 |
| RI | BLUE CROSS BLUE SHIELD | 21342 | 01 |
| Street Address |
227 CENTERVILLE RD |
| City | WARWICK |
| State | RI |
| Zip Code | 02886-4394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568457323 | Keith R Brecher | Specialist | 227 Centerville Rd, Warwick, RI 02886-4394 | 2005-09-16 |
| 1295389161 | Jennifer Ashley Pinto | Nurse Practitioner | 227 Centerville Rd, Warwick, RI 02886-4394 | 2019-07-30 |
| 1578012944 | Jennifer Mccaskie | Nurse Practitioner | 227 Centerville Rd, Warwick, RI 02886-4394 | 2016-09-27 |
| 1568836302 | Shannon Marie Gorman | Physical Therapist | 227 Centerville Rd, Warwick, RI 02886-4394 | 2015-11-17 |
| 1538407804 | Talia Stephanie L'europa | Nurse Practitioner | 227 Centerville Rd, Warwick, RI 02886-4394 | 2013-01-22 |
| 1487904587 | Gregg Buongiorno | Clinical Neuropsychologist | 227 Centerville Rd, Warwick, RI 02886-4394 | 2012-09-16 |
| 1528265675 | Ernest J Aucone | Psychologist | 227 Centerville Rd, Warwick, RI 02886-4394 | 2007-07-02 |
| 1972714467 | Raine Lyn Riggs | Clinical Neuropsychologist | 227 Centerville Rd, Warwick, RI 02886-4394 | 2007-05-25 |
| 1245305705 | Meredith Piccirillo | Speech-Language Pathologist | 227 Centerville Rd, Warwick, RI 02886-4394 | 2006-11-21 |
| 1457459943 | Kent Surgical Associates, Inc. | Surgery | 227 Centerville Rd, Suite 2, Warwick, RI 02886-4394 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694445 | Sheri Lynn Sklarz | Specialist | 300 Quaker Lane, Miracle Ear Suite C15, Warwick, RI 02886 | 2020-03-23 |
| 1316581424 | Dr. Degiulio & Associates Inc | Optometrist | 400 Bald Hill Road Ste 163, Warwick Mall, Warwick, RI 02886 | 2019-10-31 |
| 1255813291 | Samantha Pena Moore | Behavioral Analyst | 3446 Post Road, Warwick, RI 02886 | 2018-09-06 |
| 1912496209 | Martin Jude Cotti | Internal Medicine | 455 Toll Gate Rd., Warwick, RI 02886 | 2018-05-02 |
| 1447764261 | Cynthia A Lessard | Nurse Practitioner | 15 Health Lane, Warwick, RI 02886 | 2017-12-01 |
| 1538687520 | David A. Bennett | Registered Nurse | 2756 Post Road, Warwick, RI 02886 | 2017-08-30 |
| 1427585223 | Brittany Teixeira | Counselor | 85 Earl Street, Warwick, RI 02886 | 2017-05-11 |
| 1497125199 | Aiden Philip Cwynar | Optometrist | 1050 Centerville Road, Warwick, RI 02886 | 2015-10-07 |
| 1104221738 | Wilfredo L Sancianco Dmd Inc | Preferred Provider Organization | 3411 W Shiore Rd, Warwick, RI 02886 | 2014-10-24 |
| 1831508662 | Matthew Bryant Mitchell | Physical Therapist | 400 Bald Hill Rd #511, Warwick, RI 02886 | 2014-08-06 |
| Find all providers in zip 02886 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447570296 | Renee Hickey | Psychiatry & Neurology | 450 Veterans Memorial Pkwy, Building 11, East Providence, RI 02914-5300 | 2010-06-03 |
| 1063673713 | Julie L Roth | Psychiatry & Neurology | 2 Dudley St, Suite 555, Providence, RI 02905-3236 | 2008-06-24 |
| 1205025939 | Richard Louis Cervone | Psychiatry & Neurology | 900 Reservoir Ave, Cranston, RI 02910-4417 | 2007-10-18 |
| 1346467560 | Erica Szabados | Psychiatry & Neurology | 725 Reservoir Ave, Suite 308, Cranston, RI 02910-4448 | 2007-04-19 |
| 1639207319 | Garden City Neurology, Ltd | Psychiatry & Neurology | 900 Reservoir Ave, Cranston, RI 02910-4417 | 2007-03-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.