ADVANCED INTEGRATIVE MEDICINE NPI 1932983590

NPI Information

  • NPI: 1932983590
  • Provider Name: ADVANCED INTEGRATIVE MEDICINE
  • Classification: Clinic/Center - 261QP3300X
  • Specialization: Pain
  • Entity Type: Organization
  • Address: 320 PHILLIPS ST FL 1
    NORTH KINGSTOWN, RI
    ZIP 02852
  • Phone: (401) 206-0715

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NPI Details

ADVANCED INTEGRATIVE MEDICINE is a pain clinic center in North Kingstown, RI. ADVANCED INTEGRATIVE MEDICINE NPI is 1932983590. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

320 PHILLIPS ST FL 1
NORTH KINGSTOWN, RI
ZIP 02852-166
Phone: (401) 206-0715

The provider's authorized official is Derryl Nowak .
The authorized official title is Coo and has the following contact phone number (401) 206-0715.

The enumeration date for this NPI number is 8/23/2023 and was last updated on 8/23/2023.

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
1225700000XMassage TherapistNo
2261QR0400XClinic/CenterRehabilitationNo
3261QV0200XClinic/CenterVANo
4207Q00000XFamily MedicineNo
5208VP0000XPain MedicinePain MedicineNo
6111N00000XChiropractorNo
7171000000XMilitary Health Care ProviderNo
8261QP3300XClinic/CenterPainYes

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: 11/21/2025

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