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FAMILY HEALTH & SPORTS MEDICINE LLC
NPI 1275955718
Internal Medicine in Cranston, RI

Active since January 17, 2014CLIA 41D0084371 · Waiver
725 RESERVOIR AVE, CRANSTON, RI 02910(401) 943-6910(401) 946-5130 Get Directions Write a Review

NPPES record last updated: January 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Family Health & Sports Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY HEALTH & SPORTS MEDICINE LLC (NPI 1275955718) is a healthcare organization registered as an internal medicine in Cranston, Rhode Island and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Albert J Puerini, Member, as its authorized official.

NPPES Registry Identity

NPI1275955718
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFAMILY HEALTH & SPORTS MEDICINE LLC
Location Address725 RESERVOIR AVECranston, RI 02910-4448
Mailing Address725 Reservoir AveCranston, RI 02910-4448 · (401) 943-6910 · Fax (401) 946-5130
Phone(401) 943-6910
Fax(401) 946-5130
Organization SubpartNo
Authorized OfficialAlbert J PueriniMember · (401) 943-6910
Enumeration DateJanuary 17, 2014
Last NPPES UpdateJanuary 23, 2014
✔ NPI 1275955718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Sports MedicineTaxonomy 207RS0010X
725 RESERVOIR AVE, Cranston, RI 02910
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN089000260RI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 41D0084371

Family Health & Sports Medicine LLC · Cranston, RI
Active · expires Aug 31, 2026
CLIA Number41D0084371
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMark Rosenberg MD
Laboratory Phone(401) 943-6910
Laboratory LocationFamily Health & Sports Medicine LLC65 Sockanosset Cross Rd Suite 301, Cranston, RI 02920
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH V. CENTOFANTI, MD
Specialist
725 RESERVOIR AVE, SUITE 308
CRANSTON, RI 02910
Providence County (401) 944-9559
JILLIAN L. DEGRAIDE APRN
Nurse Practitioner (Primary Care)
725 RESERVOIR AVE
CRANSTON, RI 02910
Providence County (401) 829-4446
MELISSA A ROBERTS-CENTOFANTI SPEECH PATHOLOGY
Speech-Language Pathologist
725 RESERVOIR AVE, SUITE 308
CRANSTON, RI 02910
Providence County (401) 944-9559
DR. MARK ROSENBERG M.D.
Family Medicine
725 RESERVOIR AVE, SUITE 102
CRANSTON, RI 02910
Providence County (401) 943-6910
DR. PATRICK JOSEPH BRANNON M.D.
Specialist
725 RESERVOIR AVE, SUITE 204
CRANSTON, RI 02910
Providence County (401) 946-1810
MICHAEL PETER MARIORENZI MD
Orthopaedic Surgery
725 RESERVOIR AVE, #101
CRANSTON, RI 02910
Providence County (401) 944-3800
COMPREHENSIVE OB/GYN CARE, INC
Obstetrics & Gynecology
725 RESERVOIR AVE
CRANSTON, RI 02910
Providence County (401) 946-4022
A. MICHAEL COPPA MD
Obstetrics & Gynecology
725 RESERVOIR AVE
CRANSTON, RI 02910
Providence County (401) 946-4022

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Health & Sports Medicine LLC's NPI number?

The NPI number for Family Health & Sports Medicine LLC is 1275955718. It was assigned to this organization in the NPPES registry on January 17, 2014.

Where is Family Health & Sports Medicine LLC located?

Family Health & Sports Medicine LLC is located at 725 Reservoir Ave, Cranston, RI 02910. The listed phone number is (401) 943-6910.

What is Family Health & Sports Medicine LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Family Health & Sports Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D0084371) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Health & Sports Medicine LLC was last updated on January 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.