Healthcare Provider Details

I. General information

NPI: 1265484810
Provider Name (Legal Business Name): ENDOSCOPY ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 W RIVER ST FIRST FLOOR
PROVIDENCE RI
02904-2609
US

IV. Provider business mailing address

44 W RIVER ST FIRST FLOOR
PROVIDENCE RI
02904-2609
US

V. Phone/Fax

Practice location:
  • Phone: 401-274-4800
  • Fax: 401-454-0410
Mailing address:
  • Phone: 401-679-7770
  • Fax: 401-234-4267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QE0800X
TaxonomyEndoscopy Clinic/Center
License NumberPHS00008
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code261QE0800X
TaxonomyEndoscopy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. NEIL ROBERT GREENSPAN
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 401-274-4800