Active NPIOrganization

Providence Interventional Associates II LLC

Clinic/Center, Ambulatory Surgical in Providence, Rhode Island

NPI Number1497220412
Practice location
100 Highland Ave Ste 100, Providence, RI 02906-2740
Fax
401-277-9730
Last updated
June 13, 2025

Providence Interventional Associates II LLC is a healthcare organization based in Providence, RI. Providence Interventional Associates II LLC practices in Providence, RI. The NPI Number for Providence Interventional Associates II LLC is 1497220412. The current practice location address for Providence Interventional Associates II LLC is 100 Highland Ave Ste 100, Providence, RI 02906-2740 and can be reached out via phone at 401-277-9729 and via fax at 401-277-9730.

Provider Profile Details

NPI Number
1497220412
Provider Name
Providence Interventional Associates II LLC
Provider Entity Type
Organization
Address
100 Highland Ave Ste 100, Providence, RI 02906-2740
Phone Number
401-277-9729
Fax Number
401-277-9730
Primary Taxonomy
Clinic/Center, Ambulatory Surgical · 261QA1903X
Organization Subpart
No
Authorized Official
Dr. Jonah Licht, MD · Owner · 401-277-9729
Other Names
Providence Access Care (Doing Business As)
Provider Enumeration Date
October 5, 2018
Last Update Date
June 13, 2025
Certification Date
June 13, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Highland Ave Ste 100
Providence, RI 02906-2740
Zip
02906-2740
Phone Number
401-277-9729
Fax Number
401-277-9730
Providence, RI 02906Get directions →

Provider Business Mailing Address Details

Address
100 Highland Ave Ste 100
Providence, RI 02906-2740
City
Providence
State
RI
Zip
02906-2740
Phone Number
401-277-9729
Fax Number
401-277-9730

License Information

Taxonomy
Clinic/Center, Ambulatory Surgical · 261QA1903X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Providence Interventional Associates II LLC?

The NPI number of Providence Interventional Associates II LLC is 1497220412. It was assigned on October 5, 2018 and is currently active in the NPPES registry.

What is the specialty of Providence Interventional Associates II LLC?

Providence Interventional Associates II LLC is registered under the primary taxonomy Clinic/Center, Ambulatory Surgical (code 261QA1903X).

Where does Providence Interventional Associates II LLC practice?

The practice location is 100 Highland Ave Ste 100, Providence, RI 02906-2740. The office can be reached at 401-277-9729 (phone) or 401-277-9730 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497220412 directly on the NPPES registry website.

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