| Brown Neurology | |
|
593 Eddy Street Apc 5 Providence RI 02903 | |
| (401) 444-3032 | |
| (401) 444-3205 |
| Full Name | Brown Neurology |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 593 Eddy Street, Providence, Rhode Island |
| Authorized Official Name and Position | Felicia M Catallozzi (ADMINISTRATOR) |
| Authorized Official Contact | 4014446478 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brown Neurology 110 Elm St Fl 1 Providence RI 02903-4626 Ph: (401) 444-7016 | Brown Neurology 593 Eddy Street Apc 5 Providence RI 02903 Ph: (401) 444-3032 |
| NPI Number | 1366486102 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 09/24/2018 |
| Medicare PECOS PAC ID | 2163312869 |
|---|---|
| Medicare Enrollment ID | O20040317000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366486102 | NPI | - | NPPES |
| NF07469 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Elaine Jones |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912965864 PECOS PAC ID: 4789622358 Enrollment ID: I20050422001191 |
| Provider Name | Charlene A Tate |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013959808 PECOS PAC ID: 6002822251 Enrollment ID: I20060227000244 |
| Provider Name | Edward Donnelly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982630927 PECOS PAC ID: 2264448315 Enrollment ID: I20060227000273 |
| Provider Name | David E Mandelbaum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669408696 PECOS PAC ID: 1850300484 Enrollment ID: I20060411000038 |
| Provider Name | Andrew S Blum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376579318 PECOS PAC ID: 7416985338 Enrollment ID: I20060502000538 |
| Provider Name | Julie Roth |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063673713 PECOS PAC ID: 5991856007 Enrollment ID: I20090701000433 |
| Provider Name | Molly M Tracy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124210968 PECOS PAC ID: 6204963358 Enrollment ID: I20100421000249 |
| Provider Name | Syed A Rizvi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770511446 PECOS PAC ID: 9133251762 Enrollment ID: I20100719000077 |
| Provider Name | George Sachs |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992731913 PECOS PAC ID: 8729112776 Enrollment ID: I20100813000048 |
| Provider Name | Janet Lee Wilterdink |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144263971 PECOS PAC ID: 7618001660 Enrollment ID: I20100813000071 |
| Provider Name | Gary D Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841226867 PECOS PAC ID: 6507990074 Enrollment ID: I20100819000368 |
| Provider Name | Jonathan Francis Cahill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578780821 PECOS PAC ID: 6507035102 Enrollment ID: I20110817000223 |
| Provider Name | Preeti Gupta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023135720 PECOS PAC ID: 0941459598 Enrollment ID: I20120926000053 |
| Provider Name | Christina Alexandra Blum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417274887 PECOS PAC ID: 1355654112 Enrollment ID: I20150722005159 |
| Provider Name | Renee M Hickey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447570296 PECOS PAC ID: 7012136849 Enrollment ID: I20150722005235 |
| Provider Name | Kara Anne Stavros |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821315300 PECOS PAC ID: 8628381258 Enrollment ID: I20150724011408 |
| Provider Name | Gina Deck |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255642286 PECOS PAC ID: 3971735085 Enrollment ID: I20160914000134 |
| Provider Name | Swee Lim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780847376 PECOS PAC ID: 3870735806 Enrollment ID: I20160914000169 |
| Provider Name | Lisa Vanderbilt Knopf |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073806345 PECOS PAC ID: 9931475274 Enrollment ID: I20171031003489 |
| Provider Name | Judy S Liu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982611059 PECOS PAC ID: 5991705360 Enrollment ID: I20181106002657 |
| Provider Name | Monica Dhakar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528348281 PECOS PAC ID: 2365743762 Enrollment ID: I20201216003046 |
| Provider Name | Saima T Chaudhry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548655509 PECOS PAC ID: 0840594933 Enrollment ID: I20201231001400 |
| Provider Name | Jason Richards |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568808293 PECOS PAC ID: 1850517319 Enrollment ID: I20210112002609 |
| Provider Name | Neishay Ayub |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538571518 PECOS PAC ID: 6002033529 Enrollment ID: I20210316002657 |
| Provider Name | Vincent Labarbera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609223684 PECOS PAC ID: 9931494135 Enrollment ID: I20210625002003 |
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