Family Health & Sports Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FAMILY HEALTH & SPORTS MEDICINE LLC

Practice address

725 Reservoir Ave
Cranston, RI 02910-4448

Phone

(401) 943-6910

Fax

(401) 946-5130

NPI assigned

Jan 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Albert J Puerini Jr., MD

Title

Member

Phone

(401) 943-6910

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexandra Harnois, NP-C

  • Family Nurse Practitioner
  • Westerly, RI
  • NPI 1063871200
  Medicare reassignment Care Compare group
• Mark Rosenberg, M.D.

  • Family Medicine Physician
  • Cranston, RI
  • NPI 1053412767
  Medicare reassignment Care Compare group
• Amity Rubeor, DO

  • Sports Medicine (Family Medicine) Physician
  • Cranston, RI
  • NPI 1134173206
  Medicare reassignment Care Compare group
• Jeffrey Wilson, MD

  • Family Medicine Physician
  • Cranston, RI
  • NPI 1134113749
  Medicare reassignment Care Compare group
• David Anthony Interlini, PA

  • Physician Assistant
  • Providence, RI
  • NPI 1073973970
  Medicare reassignment NPD

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1275955718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104448",
            "telephone_number": "401-943-6910",
            "fax_number": "401-946-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104448",
            "telephone_number": "401-943-6910",
            "fax_number": "401-946-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH & SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-17",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "PUERINI",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "401-943-6910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Falco
• Dominador Q Falguera, MD
• Fallon & Horan DO Inc
• Eric John Fallon, L.M.H.C
• Frank Hugh Fallon, D.O.
• Family Tree Counseling Inc.
• Family Trusted Care LLC
• Marissa Nicole Faraone
• Farley and Associates, Incorporated
• David Brian Farley, DC

• Internal Medicine Physician in Cranston, RI
• Providers in Cranston, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.