PROVIDENCE INTERVENTIONAL ASSOCIATES II LLC NPI 1497220412

NPI Details

PROVIDENCE INTERVENTIONAL ASSOCIATES II LLC is an ambulatory surgical clinic center in Providence, RI. PROVIDENCE INTERVENTIONAL ASSOCIATES II LLC NPI is 1497220412. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

100 HIGHLAND AVE STE 100
PROVIDENCE, RI
ZIP 02906-740
Phone: (401) 277-9729
Fax: (401) 277-9730

The provider's authorized official is Jonah Licht .
The authorized official title is Owner and has the following contact phone number (401) 277-9729.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
• Insertion of needle and/or tube into hemodialysis circuit with review by radiologist (HCPCS:36901)
• Replacement of tunneled central venous tube (HCPCS:36581)
• Removal of tunneled central venous tube (HCPCS:36589)
• Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist (HCPCS:36903)
• Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube (HCPCS:36905)
• Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist (HCPCS:36906)
• Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
• Balloon dilation of vein with review by radiologist, initial vein (HCPCS:37248)
• Mechanical removal of obstructive material from central venous tube (HCPCS:36595)
• Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older (HCPCS:36573)
• Insertion of central venous tube with port (5 years or older) (HCPCS:36561)

The enumeration date for this NPI number is 10/5/2018 and was last updated on 6/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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