Peter J Bellafiore MD, Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD8924 Issued in RI

Legal business name

PETER J BELLAFIORE MD, INC

Practice address

70 Kenyon Ave
Suite 321
Wakefield, RI 02879-4239

Phone

(401) 789-4885

Fax

(401) 792-0201

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Peter J Bellafiore, MDNPI 1881753135

Title

Owner

Phone

(401) 789-4885

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 1

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

• Peter Joseph Bellafiore, MD

  • Neurology Physician
  • Wakefield, RI
  • NPI 1881753135
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982758207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 KENYON AVE",
            "address_2": "SUITE 321",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794239",
            "telephone_number": "401-789-4885",
            "fax_number": "401-792-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 KENYON AVE",
            "address_2": "SUITE 321",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794239",
            "telephone_number": "401-789-4885",
            "fax_number": "401-792-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J BELLAFIORE MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BELLAFIORE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-789-4885",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "RI",
            "license": "MD8924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF RI",
            "identifier": "20877",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Pepe, OTR/L
• Colleen Marie Perlak-Soto, FNP-C
• Perspectives Corporation
• Perspectives Corporation
• Perspectives Corporation
• Peter Petropoulos, M.D.
• Shawn Kristopher Petrucci
• Amanda J Petty, RD
• Christine Mary Pfeiffer, CNM
• Benjamin Z Phillips, MD

• Neurology Physician in Wakefield, RI
• Providers in Wakefield, RI by specialty
• Neurology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.