NORTHEAST INTERNAL MEDICINE, INC.
NPI 1376746156
Internal Medicine in Pawtucket, RI

Active since June 07, 2007CLIA 41D2294419 · Waiver
126 PROSPECT ST, SUITE 103, PAWTUCKET, RI 02860(401) 725-8866(401) 725-8868 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Northeast Internal Medicine, Inc. NPPES

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

NORTHEAST INTERNAL MEDICINE, INC. (NPI 1376746156) is a healthcare organization registered as an internal medicine in Pawtucket, Rhode Island and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through November 26, 2027 and lists Sadia Iftikhar, Director, as its authorized official.

NPPES Registry Identity

NPI1376746156
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNORTHEAST INTERNAL MEDICINE, INC.
Location Address126 PROSPECT ST, SUITE 103Pawtucket, RI 02860-4476
Mailing Address126 Prospect St Ste 205Pawtucket, RI 02860-4429 · (401) 725-8866 · Fax (401) 725-8868
Fax(401) 725-8868
Organization SubpartNo
Authorized OfficialSadia IftikharDirector · (401) 725-8866
Enumeration DateJune 7, 2007
Last NPPES UpdateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
NPI 1376746156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in RI · MD10628
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

126 PROSPECT ST, Pawtucket, RI 02860

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

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 41D2294419

Northeast Internal Medicine · Pawtucket, RI
Active · expires Nov 26, 2027
CLIA Number41D2294419
Laboratory TypePhysician Office
Certificate Effective DateNovember 27, 2025
Certificate Expiration DateNovember 26, 2027
Laboratory DirectorSadia Iftikhar
Laboratory Phone(401) 725-8866
Laboratory LocationNortheast Internal Medicine126 Prospect Street Suite 205, Pawtucket, RI 02860
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

Pediatrics (Adolescent Medicine)
126 PROSPECT ST
PAWTUCKET, RI 02860
Family Medicine
126 PROSPECT ST
PAWTUCKET, RI 02860
Acupuncturist
126 PROSPECT ST, SUITE 101
PAWTUCKET, RI 02860
Clinic/Center
126 PROSPECT ST, #101
PAWTUCKET, RI 02860
Pediatrics
126 PROSPECT ST
PAWTUCKET, RI 02860
Obstetrics & Gynecology
126 PROSPECT ST
PAWTUCKET, RI 02860
Pediatrics
126 PROSPECT ST
PAWTUCKET, RI 02860
Nurse Practitioner (Family)
126 PROSPECT ST
PAWTUCKET, RI 02860

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376746156, enumerated as an "organization" on June 07, 2007.

The provider is located at 126 PROSPECT ST SUITE 103 PAWTUCKET, RI 02860 and the phone number is (401) 725-8866.

Internal Medicine with taxonomy code 207R00000X.