Charter Care Medical Associates

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN00704 Issued in RI

Legal business name

CHARTER CARE MEDICAL ASSOCIATES

Practice address

466 Putnam Pike
Unit # 15
Greenville, RI 02828-3000

Phone

(401) 949-2010

NPI assigned

Jul 16, 2015

Last updated

Jan 11, 2021By 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

Robert Jon Elders

Title

Secretary

Phone

(714) 788-1249

Specialties & licenses 1

Addresses

Tax ID family

Charter Care Medical Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Prospect Chartercare Physicians LLC

  dba Chartercare Medical Assoc. Infusion Center

  • Infusion Therapy Clinic/Center
  • Providence, RI
  • NPI 1437544111
  NPD tax ID

Locations

Practitioners 1

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.

• Michael Patrick McGee

  • Family Nurse Practitioner
  • Greenville, RI
  • NPI 1033593355
  NPD (past)

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1821472135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 PUTNAM PIKE",
            "address_2": "UNIT # 15",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028283000",
            "telephone_number": "401-949-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 PUTNAM PIKE",
            "address_2": "UNIT # 15",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028283000",
            "telephone_number": "401-949-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTER CARE MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "ELDERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "714-788-1249"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN00704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Campbell
• Dena L Carlone, M.S.W.
• Dorethea Carter, COTA
• Hannah Cerone
• Andrea Melinda Chait, PH.D., BCBA,LBA,NCSP
• Jamie A Chin
• Kristen Sowa Chip, M.A.
• Clinical Services of Rhode Island Inc
• Collins Optical Center
• Harry S. Collins, LICSW

• Family Nurse Practitioner in Greenville, RI
• Providers in Greenville, RI by specialty
• Family Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.