Organization Active NPI

Novella Healthcare Services PLLC

  • Internal Medicine Physician
  • Providence, RI
National Provider Identifier
1619724481
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NOVELLA HEALTHCARE SERVICES PLLC
Doing business as
Novella Infusion
Practice address
10 Dorrance St Ste 700
Providence, RI 02903-2014
Phone
(802) 397-9366
Fax
(603) 570-1470
NPI assigned
May 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Authorized official

Name
Joseph Brunink
Title
Ceo
Phone
(603) 836-9869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

10 Dorrance St Ste 700
Providence, RI 02903-2014

Mailing address

1111B S Governors Ave Ste 3887
Dover, DE 19904-6903

Other practice location 1

400 Bald Hill Rd Ste 514
Warwick, RI 02886-1692
Phone (401) 339-4989

Other practice location 2

6 Blackstone Valley Pl Ste 704
Lincoln, RI 02865-1170
Phone (401) 399-4989

Other practice location 3

450 Veterans Memorial Pkwy Bldg 11
East Providence, RI 02914-5300
Phone (401) 399-4989

Other names 1

  • Novella Infusion Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240729002785 RI Part B Supplier - Clinic/Group Practice 5698211456 Receives reassigned benefits from 8 practitioners
Practice locations: Warwick, RI; Lincoln, RI; East Providence, 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
41D2312855Novella Healthcare Services, LLC400 Bald Hill Rd Ste 514, Warwick, RI 02886Certificate of waiverOct 20, 2026

National Provider Directory

National Provider Directory

Locations

6 Blackstone Valley Pl
Ste 704
Lincoln, RI 02865
Phone (401) 244-8201

400 Bald Hill Rd
Ste 514
Warwick, RI 02886
Phone (401) 339-4989

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1619724481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111B S GOVERNORS AVE STE 3887",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DORRANCE ST STE 700",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029032014",
            "telephone_number": "802-397-9366",
            "fax_number": "603-570-1470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Bald Hill Rd Ste 514",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028861692",
            "country_code": "US",
            "telephone_number": "401-339-4989",
            "fax_number": "401-251-2266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Blackstone Valley Pl Ste 704",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "RI",
            "postal_code": "028651170",
            "country_code": "US",
            "telephone_number": "401-399-4989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Veterans Memorial Pkwy Bldg 11",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029145300",
            "country_code": "US",
            "telephone_number": "401-399-4989",
            "fax_number": "401-251-2266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOVELLA HEALTHCARE SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "BRUNINK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "603-836-9869"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novella Infusion",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Novella Infusion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.