PEDIATRICS AND PEDIATRIC NEPHROLOGY (NPI# 1770742322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770742322 |
| Entity Type | Organization |
| Organization Name | PEDIATRICS AND PEDIATRIC NEPHROLOGY |
| Practice Address |
1370 Cranston St Cranston RI 02920-6758 |
| Practice Telephone | 4012615517 |
| Enumeration Date | 2008-06-07 |
| Last Update Date | 2008-06-07 |
| Authorized Official Name | NEENA R GUPTA (OWNER) |
| Authorized Official Telephone | 4012615517 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
11111 | RI | Ambulatory Health Care Facilities |
| Street Address |
1370 CRANSTON ST |
| City | CRANSTON |
| State | RI |
| Zip Code | 02920-6758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619922192 | Lalitha Koduri | Internal Medicine | 1370 Cranston St, Cranston, RI 02920-6758 | 2006-05-23 |
| 1245888650 | Anthony Wayne Paris Jr. | Dietitian, Registered | 1370 Cranston St, Cranston, RI 02920-6758 | 2019-08-28 |
| 1790192540 | Rovati Dental Solutions | Clinic/Center | 1370 Cranston St, Cranston, RI 02920-6758 | 2014-07-14 |
| 1770837015 | Kobad B Malesra Dds | Dentist | 1370 Cranston St, Cranston, RI 02920-6758 | 2012-11-08 |
| 1417241779 | Kyle R Malesra | Dentist | 1370 Cranston St, Cranston, RI 02920-6758 | 2011-06-04 |
| 1255419602 | Amrut R Patel | Internal Medicine | 1370 Cranston St, Cranston, RI 02920-6758 | 2006-11-02 |
| 1598840548 | Joseph Anthony Dilorenzo | Internal Medicine | 1370 Cranston St, West Bay Medical Center, Cranston, RI 02920-6758 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184262198 | Beacon Dental Health Ri, PC | Clinic/Center | Beacon Dental Health Ri, P.C., 1090 New London Avenue, Cranston, RI 02920 | 2019-12-20 |
| 1821642240 | Jaime L Nixon | Dietitian, Registered | 444 Meshanticut Valley Parkway, Apt 37, Cranston, RI 02920 | 2019-07-25 |
| 1164923553 | Codac Inc | Peer Specialist | 3 Regan Ct, Cranston, RI 02920 | 2018-02-22 |
| 1144673096 | Joanne Le | Optometrist | 1400 Oaklawn Ave., Cranston, RI 02920 | 2016-07-15 |
| 1053790733 | Alanna Conley | Speech-Language Pathologist | 45 Sockanosset Cross Rd Ste 100, Cranston, RI 02920 | 2015-05-27 |
| 1114322740 | Nicole Enos | Physical Therapist | 51 Sockanosset Crossroad, Cranston, RI 02920 | 2014-10-24 |
| 1841622313 | Courtney Faiith Oliver | Occupational Therapy Assistant | 150 Midway Road, Suite 173, Cranston, RI 02920 | 2013-08-06 |
| 1386086403 | Sarah Gonzalez | Marriage & Family Therapist | 105 Sockanosset Cross Rd Ste 102, Cranston, RI 02920 | 2013-07-18 |
| 1902246788 | Amanda Lee Zarriello | Physical Medicine & Rehabilitation | 10 Worthington Rd, Cranston, RI 02920 | 2013-06-26 |
| 1962742528 | Yatyee Lee | Counselor | 141 Elmwood Avenue, Cranston, RI 02920 | 2013-02-19 |
| Find all providers in zip 02920 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881251692 | Estner Injury Centers | Clinic/Center | 875 Pontiac Ave, Cranston, RI 02910-6024 | 2019-05-28 |
| 1073649471 | Accesspoint Ri | Clinic/Center | 111 Comstock Pkwy, Cranston, RI 02921-2002 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508370826 | Bruno Chiropractic Inc. | Clinic/Center | 1822 Mineral Spring Ave, N Providence, RI 02904-8938 | 2017-11-22 |
| 1275052755 | Coastal Foot & Ankle Inc | Clinic/Center | 850 Aquidneck Ave, Middletown, RI 02842-7280 | 2017-09-15 |
| 1356892244 | Frank Olean Center | Clinic/Center | 93 Airport Rd, Westerly, RI 02891-3420 | 2016-10-17 |
| 1871938308 | Providence Chiropractic, LLC | Clinic/Center | 635 Hope St, Providence, RI 02906 | 2013-05-10 |
| 1427392075 | Ocean State Behavioral | Clinic/Center | 2733 Post Rd, Warwick, RI 02886-3041 | 2012-11-20 |
| 1306151600 | Rhode Island Hospital | Clinic/Center | 117 Ellenfield St, Providence, RI 02905-4513 | 2010-08-11 |
| 1124258504 | Rhode Island Hospital | Clinic/Center | 593 Eddy St, Providence, RI 02903-4923 | 2009-07-21 |
| 1750519773 | Atlantic Orthopedics LLC | Clinic/Center | 81 Beach St, Westerly, RI 02891-2769 | 2009-06-29 |
| 1457545782 | Premier Medical Group, Professional Corporation | Clinic/Center | 400 Warren Ave, Suite 01, East Providence, RI 02914-3807 | 2007-08-29 |
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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.