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

Individual provider Nephrology Physician · NPI 1124225594

Mordecai Jeremiah Stolk, MD is a Nephrology in East Providence, Rhode Island. Qualified in 2004, 22 years ago. Practices with Nephrology Associates Inc, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and Rhode Island.

Years since qualifying
22
Licensed in
MA, RI
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

318 Waterman Ave
East Providence, RI 02914-3525
Phone: (401) 438-5950
Fax: (401) 435-6700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence MD13046 (RI)
Nephrology Physician Taxonomy 207RN0300X · Licence 241535 (MA)

Record details

NPI number1124225594
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2007
Last updated in NPPESOctober 29, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Nephrology Associates Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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