Healthcare Provider Details

I. General information

NPI: 1275220535
Provider Name (Legal Business Name): LINDSEY ADES LEVIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINDSEY ADES MD

II. Dates (important events)

Enumeration Date: 04/18/2023
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

593 EDDY ST
PROVIDENCE RI
02903-4923
US

IV. Provider business mailing address

15 LASALLE SQUARE
PROVIDENCE RI
02903
US

V. Phone/Fax

Practice location:
  • Phone: 401-444-4000
  • Fax:
Mailing address:
  • Phone: 401-444-6779
  • Fax: 401-444-6912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License NumberMD21458
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: