GARDEN CITY NEUROLOGY, LTD (NPI# 1639207319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639207319 |
| Entity Type | Organization |
| Organization Name | GARDEN CITY NEUROLOGY, LTD |
| Other Organization Name | R.I. NEURODIAGNOSTICS & REHABILITATION |
| Practice Address |
900 Reservoir Ave Cranston RI 02910-4417 |
| Practice Telephone | 4017140222 |
| Practice Fax Number | 4017140220 |
| Mailing Telephone | 4017140222 |
| Mailing Fax Number | 4017140220 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RICHARD LOUIS CERVONE (PRESIDENT) |
| Authorized Official Telephone | 4017140222 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
MD10970 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BLUECHIP NUMBER | 410755 | 01 |
| RI | FIRST HEALTH | 2142223 | 01 |
| RI | UNITED HEALTH NUMBER | 4400009 | 01 |
| RI | BLUE CROSS RI NUMBER | 26655-2 | 01 |
| RI | GC51470 | 05 |
| Other Name | Type Code |
|---|---|
| R.I. Neurodiagnostics & Rehabilitation | Doing Business As Name - Organization |
| Street Address |
900 RESERVOIR AVE |
| City | CRANSTON |
| State | RI |
| Zip Code | 02910-4417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396706420 | Lori Dorsey | Counselor | 900 Reservoir Ave, Cranston, RI 02910-4417 | 2006-03-29 |
| 1598326282 | Angela Mary Veneziano | Massage Therapist | 900 Reservoir Ave, Cranston, RI 02910-4453 | 2019-06-24 |
| 1245695964 | Petitpas Psychiatric Services, LLC | Clinical Nurse Specialist | 900 Reservoir Ave, Ste.2, Cranston, RI 02910-4453 | 2015-12-22 |
| 1689944472 | Mary Angela Saraiva | Counselor | 900 Reservoir Ave, Suite 2, Cranston, RI 02910-4453 | 2012-01-10 |
| 1841425360 | Medina Young | Counselor | 900 Reservoir Ave, Cranston, RI 02910-4453 | 2009-05-28 |
| 1205025939 | Richard Louis Cervone | Psychiatry & Neurology | 900 Reservoir Ave, Cranston, RI 02910-4417 | 2007-10-18 |
| 1669679866 | Mark J Mulak | Chiropractor | 900 Reservoir Ave, Cranston, RI 02910-4453 | 2007-06-29 |
| 1457446593 | Patricia A Petitpas | Counselor | 900 Reservoir Ave, Cranston, RI 02910-4453 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443441 | Luis Guzman | Durable Medical Equipment & Medical Supplies | 29 Rolfe Square, Cranston, MA 02910 | 2018-07-02 |
| 1023535010 | Sarah Pagliarini | Nurse Practitioner | 725 Reservoir Ave Ste 308, Cranston, RI 02910 | 2017-08-29 |
| 1861890105 | Marissa Falco | Counselor | 1471 Elmwood Avenue, Cranston, RI 02910 | 2014-12-19 |
| 1952702425 | Lauren Beth Shibley | Counselor | 825 Pontiac Avenue Apt 14101, Cranston, RI 02910 | 2014-09-15 |
| 1831516632 | Kelly Kilmartin | Counselor | 471 Elmwood Avenue, Cranston, RI 02910 | 2014-03-19 |
| 1376784827 | Michael Eric Schaffer | Counselor | 989 Reservoir Ave Ste 104, Cranston, RI 02910 | 2009-03-13 |
| 1639384829 | Dolores Maiello Ciambrone | Social Worker | 145 Harmon Ave, Cranston, RI 02910 | 2007-05-11 |
| 1750502241 | Mary Jane Boucher | Counselor | Codac Cranston, 1052 Park Ave, Cranston, RI 02910 | 2007-05-01 |
| 1134250715 | Michele Bailey Chaudhry | Social Worker | 935 Reservoir Ave, Cranston, RI 02910 | 2007-03-08 |
| 1487703658 | Karen M Mega | Dentist | 567 Reservoir Ave, Cranston, RI 02910 | 2007-01-09 |
| Find all providers in zip 02910 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
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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.