Organization Active NPI

Suite Life Medical PC

  • Rheumatology Physician
  • Fall River, MA
National Provider Identifier
1205604295
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
SUITE LIFE MEDICAL PC
Practice address
215 Pleasant St Ste 5
Fall River, MA 02721-3018
Phone
(508) 567-5666
Fax
(508) 567-5614
NPI assigned
Dec 19, 2023
Last updated
Dec 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Kelly Lambrese
Title
Cxo
Phone
(508) 567-5666

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X
Rheumatology Physician 207RR0500X Primary
Neurology Physician 2084N0400X

Addresses

Primary practice location

215 Pleasant St Ste 5
Fall River, MA 02721-3018

Mailing address

215 Pleasant St Ste 5
Fall River, MA 02721-3018
Phone (508) 567-5666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240307001362 MA Part B Supplier - Clinic/Group Practice 0648616110 Receives reassigned benefits from 4 practitioners
Practice locations: Fall River, MA; Stoughton, MA; Westborough, MA; Westfield, MA; Weymouth, MA
O20241223002149 RI Part B Supplier - Clinic/Group Practice 0648616110 Receives reassigned benefits from 4 practitioners
Practice locations: Lincoln, RI; Warwick, RI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2311294Suite Life Medical PC215 Pleasant St 5TH Floor, Fall River, MA 02721Certificate of waiverSep 18, 2026

National Provider Directory

National Provider Directory

Locations

215 Pleasant St
Ste 5
Fall River, MA 02721
Phone (508) 567-5666

489 Page St
Stoughton, MA 02072
Phone (508) 567-5666

640C George Washington Hwy
Lincoln, RI 02865

640C George Washington Hwy
Ste 200
Lincoln, RI 02865
Phone (508) 567-5666

300 Jefferson Blvd
Ste 102
Warwick, RI 02888
Phone (508) 567-5666

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1205604295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 PLEASANT ST STE 5",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213018",
            "telephone_number": "508-567-5666",
            "fax_number": "508-567-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 PLEASANT ST STE 5",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213018",
            "telephone_number": "508-567-5666",
            "fax_number": "508-567-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUITE LIFE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "LAMBRESE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CXO",
        "authorized_official_telephone_number": "508-567-5666"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.