SUSAN J DUFFY MD NPI 1497779342

NPI Information

NPI: 1497779342
Provider Name: SUSAN J DUFFY, MD
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
593 EDDY ST
CLAVERICK 2
PROVIDENCE, RI
ZIP 02903
Phone: (401) 854-2504
Get Directions

Susan J Duffy, MD is a pediatric emergency medicine pediatrics in Providence, RI. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Susan J Duffy, MD NPI is 1497779342. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

593 EDDY ST
CLAVERICK 2
PROVIDENCE, RI
ZIP 02903-923
Phone: (401) 854-2504
Fax: (401) 854-2519

The NPI 1497779342 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 9/17/2013.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		MD08890	RHODE ISLAND	No
2	2080P0204X	Pediatrics	Pediatric Emergency Medicine	MD08890	RHODE ISLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7004958	MEDICAID	RHODE ISLAND
2	12/14/2006	OTHER	RHODE ISLAND	NHPRI
3	939025129	OTHER	RHODE ISLAND	MEDICARE GROUP NUMBER
4	3192067	MEDICAID	MASSACHUSETTS
5	007004958	OTHER	RHODE ISLAND	RI MEDICARE
6	12/29/2008	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
7	404794	OTHER	RHODE ISLAND	BCB SRI
8	E95366	MEDICARE UPIN	RHODE ISLAND
9	1497779342	OTHER	RHODE ISLAND	NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »