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EDGEWOOD MEDICAL LLC
NPI 1952501421
Internal Medicine in Cranston, RI

Active since July 23, 2007
251 PARK AVE, 2ND FLOOR, CRANSTON, RI 02905(401) 275-0700(401) 275-0775 Get Directions Write a Review

NPPES record last updated: September 9, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edgewood Medical Llc NPPES

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

EDGEWOOD MEDICAL LLC (NPI 1952501421) is a healthcare organization registered as an internal medicine in Cranston, Rhode Island and active in the NPI registry since July 2007. The organization lists Jose R Polanco, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1952501421
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEDGEWOOD MEDICAL LLC
Location Address251 PARK AVE, 2ND FLOORCranston, RI 02905-2647
Mailing Address251 Park Ave, 2nd FloorCranston, RI 02905-2647 · (401) 275-0700 · Fax (401) 275-0775
Phone(401) 275-0700
Fax(401) 275-0775
Organization SubpartNo
Authorized OfficialJose R PolancoMedical Director · (401) 275-0700
Enumeration DateJuly 23, 2007
Last NPPES UpdateSeptember 9, 2008
✔ NPI 1952501421 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 · MD10514
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.
251 PARK AVE, Cranston, RI 02905
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 2

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

PARK MEDICAL ASSOCIATES, LLC
Internal Medicine
251 PARK AVE
CRANSTON, RI 02905
Providence County (800) 927-0002
MR. RICHARD C PORCELLI JR. M.A.,LMHC
Counselor (Mental Health)
251 PARK AVE, LOWER LEVEL
CRANSTON, RI 02905
Providence County (401) 383-2200

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 Edgewood Medical LLC's NPI number?

The NPI number for Edgewood Medical LLC is 1952501421. It was assigned to this organization in the NPPES registry on July 23, 2007.

Where is Edgewood Medical LLC located?

Edgewood Medical LLC is located at 251 Park Ave 2nd Floor, Cranston, RI 02905. The listed phone number is (401) 275-0700.

What is Edgewood Medical LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Edgewood Medical LLC was last updated on September 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.