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: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

593 EDDY ST
PROVIDENCE RI
02903-4923
US

IV. Provider business mailing address

1 CHARLES ST S UNIT 1401
BOSTON MA
02116-5457
US

V. Phone/Fax

Practice location:
  • Phone: 401-444-4000
  • Fax:
Mailing address:
  • Phone: 617-851-7710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number3014336
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD21458
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: