1. Home
  2. Directory
  3. Rhode Island
  4. Providence
  5. Radiology
  6. NPI Profile

NORTHMAIN RADIATION ONCOLOGY
NPI 1184303984
Radiology - Radiation Oncology in Providence, RI

Active since July 18, 2023CLIA Certified · 4 labs
825 N MAIN ST, PROVIDENCE, RI 02904(401) 521-9700 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northmain Radiation Oncology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHMAIN RADIATION ONCOLOGY (NPI 1184303984) is a healthcare organization registered as a radiation oncology in Providence, Rhode Island and active in the NPI registry since July 2023. The organization holds 4 active CLIA laboratory certificates, maintains a secondary practice location in Providence, and lists Donna Gordon, Director, Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1184303984
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NameBROWN UROLOGY, INC.
Location Address825 N MAIN STProvidence, RI 02904-5767
Mailing Address110 Elm St Fl 3Providence, RI 02903-4626 · (401) 270-4623 · Fax (401) 537-7241
Phone(401) 521-9700
Organization SubpartYes
Authorized OfficialDonna GordonDirector, Revenue Cycle · (401) 443-5107
Enumeration DateJuly 18, 2023
Last NPPES UpdateAugust 1, 2023
NPPES CertifiedAugust 1, 2023
✔ NPI 1184303984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
825 N MAIN ST, Providence, RI 02904
Open in Google Maps ↗

Other Names 1

Doing Business AsNorthmain Radiation Oncology

Secondary Practice Location 1

Location 1827 N Main St Ste 4Providence, RI 02904-5751 · Phone (401) 272-7799

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 41D2115421

Brown Urology, Inc · Providence, RI
Active · expires Nov 29, 2027
CLIA Number41D2115421
Laboratory TypePhysician Office
Certificate Effective DateNovember 30, 2025
Certificate Expiration DateNovember 29, 2027
Laboratory DirectorElias Hyams
Laboratory Phone(401) 272-7799
Laboratory LocationBrown Urology, Inc827 North Main, Providence, RI 02904
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 41D1093435

Brown Urology, Inc · Providence, RI
Active · expires Nov 29, 2027
CLIA Number41D1093435
Laboratory TypePhysician Office
Certificate Effective DateNovember 30, 2025
Certificate Expiration DateNovember 29, 2027
Laboratory DirectorDr. Elias Hyams
Laboratory Phone(401) 272-7799
Laboratory LocationBrown Urology, Inc195 Collyer Street Ste 201, Providence, RI 02904
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 41D2218823

Collyer Street Operatory Dba Brown Urology · Providence, RI
Active · expires Mar 30, 2027
CLIA Number41D2218823
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 31, 2025
Certificate Expiration DateMarch 30, 2027
Laboratory DirectorGyan Pareek
Laboratory Phone(401) 246-2025
Laboratory LocationCollyer Street Operatory Dba Brown Urology195 Collyer St, Providence, RI 02904
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 41D0692414

Brown Urology · Providence, RI
Active · expires Aug 31, 2026
CLIA Number41D0692414
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMark Sigman MD
Laboratory Phone(401) 435-4450
Laboratory LocationBrown Urology195 Collyer Street Suite 201, Providence, RI 02904
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GABRIELA B MASKO M.D.
Radiology (Radiation Oncology)
825 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 521-9700
DR. MARGARET S. WOOL PH.D., LICSW, BCD
Social Worker (Clinical)
825 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 261-1500
RADIATION ONCOLOGY ASSOCIATES INC
Radiology (Radiation Oncology)
825 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 521-9700
DR. SCOTT A. TRIEDMAN M.D.
Radiology (Radiation Oncology)
825 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 521-9700
ALLEN YICHENG ROSSETTI-CHUNG M.D., PH.D.
Radiology (Radiation Oncology)
825 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 437-5865
SHEVA MIRDAMADI- TEHRANI NP
Nurse Practitioner (Family)
825 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 521-9700
DR. NICKLAS B OLDENBURG M.D.
Radiology (Radiation Oncology)
825 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 521-9700
DR. DONALD R. JOYCE M.D.
Radiology (Radiation Oncology)
825 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 521-9700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brown Urology, Inc.'s NPI number?

The NPI number for Brown Urology, Inc. is 1184303984. It was assigned to this organization in the NPPES registry on July 18, 2023. The provider is doing business as Northmain Radiation Oncology.

Where is Brown Urology, Inc. located?

Brown Urology, Inc. is located at 825 N Main St, Providence, RI 02904. The listed phone number is (401) 521-9700.

What is Brown Urology, Inc.'s specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Does Brown Urology, Inc. hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Brown Urology, Inc. was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.