Charles Gerald Rivellini Jr., CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

000819 Issued in CT

Practice address

1157 South Sr 7
Wellington, FL 33414

Phone

(561) 795-3330

Fax

(561) 795-1030

NPI assigned

Jul 21, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bridgeport Anesthesia Associates, P.C.

  • Anesthesiology Physician
  • Bridgeport, CT
  • NPI 1174549257

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Milford Anesthesia Associates LLC

  • Anesthesiology Physician
  • Milford, CT
  • NPI 1932152097

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Nuvance Health Medical Practice CT, Inc.

  • Internal Medicine Physician
  • Danbury, CT
  • NPI 1407898117
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1164652483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RIMMON HILL RD",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065251322",
            "telephone_number": "203-824-8482",
            "fax_number": "203-387-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 SOUTH SR 7",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-795-3330",
            "fax_number": "561-795-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVELLINI",
        "first_name": "CHARLES",
        "middle_name": "GERALD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-21",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "000819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanie Rico, LMHC
• Irene Rifkind, LCSW
• Ringside MDS LLC
• Kathleen M Riolino, PTA
• Rise-Above Acupuncture LLC
• Renato Rivera Morales, CRNA
• Danielle Rivera, M.S.P.T.
• Dayra Vivianis Rivera
• Enrique Rivera, PH.D.
• Jose Enrique Rivera, PSY.D.

• Certified Registered Nurse Anesthetist in Wellington, FL
• Providers in Wellington, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.