Benjamin P Lichtenfels DO PC
Organization Active NPI Internal Medicine Physician · East Greenwich, RI
NPI 1376141069 · NPPES record last updated Oct 14, 2020
Key facts
- NPI
- 1376141069
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- BENJAMIN P LICHTENFELS DO PC
- Practice address
- 2358 S County TRL
East Greenwich, RI 02818-1583 - Phone
- (401) 886-6000
- Fax
- (401) 886-6002
- NPI assigned
- Oct 14, 2020
- Organization subpart
- No
Authorized official
- Name
- Benjamin P Lichtenfels, DO
- Title
- Provider
- Phone
- (401) 886-6000
Practitioners 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201113001674 | RI | Part B Supplier - Clinic/Group Practice | 3476963836 |
Receives reassigned benefits from 1 practitioner Practice locations: East Greenwich, RI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
2358 S County TRL
East Greenwich, RI 02818-1583
Mailing address
2358 S County TRL
East Greenwich, RI 02818-1583
Phone (401) 886-6000
Other providers in East Greenwich, RI
- Shelley M Beaudoin
- Randi B Belhumeur
- Joshua William Bell
- Elizabeth Bellairs-Roy
- Shaina L Belsky
- Kristin Ann Benjamin
- Rebecca Lorraine Bennard
- Kayla Jane Benton
- Berghelli Internal Medicine, LLC
- Anthony Berghelli
All providers in East Greenwich, RI · Internal Medicine Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.