Chartercare Roger Williams Medical Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CHARTERCARE ROGER WILLIAMS MEDICAL CENTER

Doing business as

Roger Williams Medical Center

Practice address

825 Chalkstone Ave
Providence, RI 02908-4728

Phone

(401) 456-2000

Fax

(401) 456-2029

NPI assigned

Jul 30, 2024

Last updated

Jul 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Liebman

Title

Ceo

Phone

(401) 456-2001

Specialties & licenses 14

Addresses

Other names 1

• Roger Williams Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 109

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.

• Mohammad Abdallat, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Providence, RI
  • NPI 1033634647
  Medicare reassignment NPD
• Joanna Abi Chebl, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Providence, RI
  • NPI 1700504396
  Medicare reassignment NPD
• Ali A Akhtar, M.D.

  • Internal Medicine Physician
  • Providence, RI
  • NPI 1457333619
  Medicare reassignment NPD
• Gregory G Allen, D.O.

  • Internal Medicine Physician
  • Cranston, RI
  • NPI 1043217250
  Medicare reassignment NPD
• Cynthia M Alves, MD

  • Cardiovascular Disease Physician
  • Woonsocket, RI
  • NPI 1093712853

  Specialist

  Medicare reassignment NPD
• Kendra Apici, LICSW

  • Clinical Social Worker
  • North Providence, RI
  • NPI 1306368881

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD
• Natalia M. Arboleda

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Providence, RI
  • NPI 1639823057
  Medicare reassignment NPD
• Nebyou Belay, MD

  • Child & Adolescent Psychiatry Physician
  • Woonsocket, RI
  • NPI 1194810507
  Medicare reassignment NPD
• Erica Beth Brousseau, NP

  • Nurse Practitioner
  • Woonsocket, RI
  • NPI 1508110479
  Medicare reassignment NPD
• Rebecca Mary Brown, MD

  • Specialist
  • Providence, RI
  • NPI 1437123403
  Medicare reassignment NPD
• Tiffany Brown

  • Clinical Social Worker
  • Johnston, RI
  • NPI 1922676055
  Medicare reassignment NPD
• Tyler Carden, RD, LDN

  • Registered Dietitian
  • Providence, RI
  • NPI 1427522051
  Medicare reassignment NPD

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1649009507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CHALKSTONE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084728",
            "telephone_number": "401-456-2000",
            "fax_number": "401-456-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 CHALKSTONE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084728",
            "telephone_number": "401-456-2000",
            "fax_number": "401-456-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTERCARE ROGER WILLIAMS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "LIEBMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "401-456-2001"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roger Williams Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roger Williams Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chartercare Associates in Primary Care Medicine, LLC (CharterCare Medical Associates Infusion Center)
• Chartercare Health Partners (Roger Williams Hospital Pharmacy)
• Chartercare Home Health and Hospice, LLC
• Chartercare Roger Williams Medical Center (Roger Williams Medical Center)
• Chartercare Roger Williams Medical Center (Roger Williams Medical Center)
• Chartercare Roger Williams Medical Center (Roger Williams Medical Center)
• Ashley Leslie Chartier, AGACNP-BC
• Debra B Charzewski, CCC-SLP
• Aquilla Jane Chase, MD
• Kristen Chase, CRNA

• Internal Medicine Physician in Providence, RI
• Providers in Providence, 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 Jul 31, 2024; 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.