Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ocean State Primary Care Center of Coventry, LLC

Organization Family Medicine Physician · NPI 1134514276

Ocean State Primary Care Center of Coventry, LLC is a Family Medicine Physician in Coventry, Rhode Island. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

982 Tiogue Ave
Coventry, RI 02816-6116
Phone: (401) 821-6800
Fax: (401) 821-8513
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X
Adult Health Nurse Practitioner Taxonomy 363LA2200X

Record details

NPI number1134514276
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Martin — Managing Partner · (401) 821-6800
NPI enumeratedApril 6, 2015
Last updated in NPPESOctober 11, 2017
Mailing address982 Tiogue Ave, Coventry, RI 02816-6116

Other providers in Coventry