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Edgewood Medical LLC

Edgewood Medical LLC is a healthcare organization registered as Internal Medicine Physician in Cranston, RI, holding Type 2 (organization) NPI 1952501421 since 2007. The authorized official on file is Jose Polanco, Medical Director.

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NPI 1952501421
Entity type Organization (Type 2)
Legal business name Edgewood Medical LLC
Practice address 251 PARK AVE, 2ND FLOOR, Cranston, RI, 02905
Phone 4012750700
Fax 4012750775
Enumeration date 2007-07-23
Last updated in NPPES 2008-09-09

Authorized official

Name Jose Polanco
Title Medical Director
Phone 4012750700

Taxonomy & classification

Taxonomy code Specialty Primary License State
207R00000X Internal Medicine Physician Primary MD10514 RI
Copy-ready billing details
Provider: Edgewood Medical LLC
NPI: 1952501421
Taxonomy: 207R00000X (Internal Medicine Physician)
Address: 251 PARK AVE, 2ND FLOOR, Cranston, RI, 02905

Providers at this address

NPI Name Type Specialty Location
1033427398 Park Medical Associates, LLC Organization Internal Medicine Physician Cranston, RI
1669756524 Richard Porcelli Individual Mental Health Counselor Cranston, RI

Verify this record

Cross-check NPI 1952501421 against the authoritative CMS record: view Edgewood Medical LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What type of organization is Edgewood Medical LLC?
Edgewood Medical LLC is registered in NPPES as a Internal Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-09-09.