Berghelli Internal Medicine, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BERGHELLI INTERNAL MEDICINE, LLC

Practice address

2358 S County TRL
East Greenwich, RI 02818-1583

Phone

(401) 886-6000

Fax

(401) 886-6002

NPI assigned

Jun 1, 2020

Organization subpart

No

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

Authorized official

Name

Anthony Berghelli, DONPI 1356873202

Title

Physician

Phone

(401) 886-6000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

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

• Anthony Berghelli

  • Internal Medicine Physician
  • East Greenwich, RI
  • NPI 1356873202

  RI

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590969600000",
    "number": "1356965859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2358 S COUNTY TRL",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181583",
            "telephone_number": "401-886-6000",
            "fax_number": "401-886-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2358 S COUNTY TRL",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181583",
            "telephone_number": "401-886-6000",
            "fax_number": "401-886-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGHELLI INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A",
        "authorized_official_last_name": "BERGHELLI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "401-886-6000",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaina L Belsky, DO
• Benjamin P Lichtenfels DO PC
• Kristin Ann Benjamin, MS CCC-SLP
• Rebecca Lorraine Bennard, PMHNP
• Kayla Jane Benton, RN, IBCLC
• Anthony Berghelli
• Boris O Bergus, MD
• Jessica Rachel Berman
• Eric P. Berthiaume, M.D.
• Raquel Marques Bertolotti, PA-C

• All providers in East Greenwich, RI
• Primary Care Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.