| Greenwich Bay Medical Associates, Llc | |
|
4300 Post Road Suite 1 Warwick RI 02818 | |
| (401) 889-3669 | |
| Not Available |
| Full Name | Greenwich Bay Medical Associates, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4300 Post Road, Warwick, Rhode Island |
| Authorized Official Name and Position | Jonathan Martin (MD/OWNER) |
| Authorized Official Contact | 4018893669 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenwich Bay Medical Associates, Llc 4300 Post Road Suite 1 Warwick RI 02818 Ph: (401) 889-3669 | Greenwich Bay Medical Associates, Llc 4300 Post Road Suite 1 Warwick RI 02818 Ph: (401) 889-3669 |
| NPI Number | 1912458068 |
|---|---|
| Provider Enumeration Date | 10/24/2016 |
| Last Update Date | 02/23/2017 |
| Medicare PECOS PAC ID | 2062784465 |
|---|---|
| Medicare Enrollment ID | O20170821000174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912458068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Simon Melnick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093754780 PECOS PAC ID: 8628056249 Enrollment ID: I20040713000783 |
| Provider Name | Richard Leach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407852155 PECOS PAC ID: 0446228621 Enrollment ID: I20040924000546 |
| Provider Name | Gregory G Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043217250 PECOS PAC ID: 2668416637 Enrollment ID: I20050610000848 |
| Provider Name | Jonathan Hamilton Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528209335 PECOS PAC ID: 5698946648 Enrollment ID: I20110922000500 |
| Provider Name | Karen A Rugg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730408220 PECOS PAC ID: 8426356692 Enrollment ID: I20160421001071 |
| Provider Name | Faithe Weathers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750850665 PECOS PAC ID: 4486991528 Enrollment ID: I20190710001052 |
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