OCEAN STATE PRIMARY CARE CENTER OF EAST PROVIDENCE INC
NPI 1225543754
Family Medicine in East Providence, RI

NPI Status: Active since December 06, 2017

Contact Information

450 VETERANS MEMORIAL PKWY UNIT 15B
EAST PROVIDENCE, RI
ZIP 02914
Phone: (401) 434-3350

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  • Organization
  • Family Medicine
  • CLIA Number: 41D2142246
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-07-2026

About OCEAN STATE PRIMARY CARE CENTER OF EAST PROVIDENCE INC

This page provides the complete NPI Profile along with additional information for Ocean State Primary Care Center Of East Providence Inc, a primary care provider established in East Providence, Rhode Island operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1225543754 assigned on December 2017. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Ocean State Primary Care Center Of East Providence Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Jennifer Zuba (General Manager)

NPI
1225543754
Provider Name
OCEAN STATE PRIMARY CARE CENTER OF EAST PROVIDENCE INC
Entity Type
Organization
Location Address
450 VETERANS MEMORIAL PKWY UNIT 15B EAST PROVIDENCE, RI 02914
Location Phone
(401) 434-3350
Mailing Address
2130 MENDON RD STE 3-333 CUMBERLAND, RI 02864
Mailing Phone
(401) 353-1012
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-06-2017
Last Update Date
12-06-2017
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A primary care provider (PCP) like Ocean State Primary Care Center Of East Providence Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LA2200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Adult Health

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER ZUBA

Authorized Official Title
GENERAL MANAGER
Authorized Official Phone
(401) 626-2748

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
41D2142246
Facility Type
Physician Office
Certificate Effective Date
January 08, 2024
Certificate Expiration Date
January 07, 2026
Laboratory Director
DEBORAH RICH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ocean State Primary Care Center Of East Providence Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1225543754
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22451046710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 4 + 5 + 1 + 0 + 4 + 6 + 7 + 1 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1225543754 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932194198DR. PAUL W SANTORO DO
Individual
Internal Medicine450 VETERANS MEMORIAL PKWY UNIT 15B
EAST PROVIDENCE, RI 02914
(401) 434-3350
1649355991DR. RICHARD MICHAEL BIANCO DO
Individual
Family Medicine450 VETERANS MEMORIAL PKWY UNIT 15B
EAST PROVIDENCE, RI 02914
(401) 434-3350
1295394724 CLAUDIA KANE PA-C
Individual
Physician Assistant450 VETERANS MEMORIAL PKWY UNIT 15B
EAST PROVIDENCE, RI 02914
(401) 434-3350

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225543754, enumerated in the NPI registry as an "organization" on December 06, 2017

The provider is located at 450 Veterans Memorial Pkwy Unit 15b East Providence, Ri 02914 and the phone number is (401) 434-3350

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider's CLIA number is 41D2142246 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on December 06, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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