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CHAD P. NEVOLA MD INC. NPI 1770689002


NPI Information

NPI: 1770689002
Provider Name: CHAD P. NEVOLA, MD, INC.
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
120 DUDLEY ST
SUITE 105
PROVIDENCE, RI
ZIP 02905
Phone: (401) 273-9555
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CHAD P. NEVOLA, MD, INC. is a pediatrics in Providence, RI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CHAD P. NEVOLA, MD, INC. NPI is 1770689002. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

120 DUDLEY ST
SUITE 105
PROVIDENCE, RI
ZIP 02905-436
Phone: (401) 273-9555
Fax: (401) 861-4943

The provider's authorized official is Chad Peter Nevola .
The authorized official title is Sole Stockholder and has the following contact phone number (401) 273-9555.

The enumeration date for this NPI number is 9/15/2006 and was last updated on 6/12/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsMD10281RHODE ISLANDYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
131505-8OTHERRHODE ISLANDBLUE CROSS/BLUE SHIELD RI
21984965OTHERRHODE ISLANDUNITED HEALTH PLAN OF RI
33815OTHERRHODE ISLANDNEIGHBORHOOD HEALTH PLAN
4407401OTHERRHODE ISLANDBLUE CHIP OF RI
5478834OTHERRHODE ISLANDTUFTS HEALTH PLAN
6CN32566MEDICAIDRHODE ISLAND
7407860OTHERRHODE ISLANDHCVM OF RI
8H15967MEDICARE UPINRHODE ISLAND
9710058301OTHERRHODE ISLANDCIGNA
102642815OTHERRHODE ISLANDFIRST HEALTH OF RI

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

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