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PROSPECT CHARTERCARE PHYSICIANS, LLC
NPI 1629493135
Internal Medicine in Cranston, RI

Active since February 20, 2014
1681 CRANSTON ST, CRANSTON, RI 02920(401) 944-6889(401) 944-6726 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2021, Jan 11, 2021, Sep 12, 2017 and 1 more (4 updates tracked since 2017).

About Prospect Chartercare Physicians, Llc NPPES

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

PROSPECT CHARTERCARE PHYSICIANS, LLC (NPI 1629493135), doing business as Chartercare Medical Associates, is a healthcare organization registered as an internal medicine in Cranston, Rhode Island and active in the NPI registry since February 2014. The organization maintains 2 additional practice locations and lists Robert Jon Elders, Secretary, as its authorized official.

NPPES Registry Identity

NPI1629493135
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePROSPECT CHARTERCARE PHYSICIANS, LLC
Location Address1681 CRANSTON STCranston, RI 02920-5000
Mailing Address825 Chalkstone AveProvidence, RI 02908-4728 · (401) 456-2025 · Fax (401) 456-2029
Phone(401) 944-6889
Fax(401) 944-6726
Organization SubpartNo
Authorized OfficialRobert Jon EldersSecretary · (714) 788-1249
Enumeration DateFebruary 20, 2014
Last NPPES UpdateJuly 15, 20254 updates tracked since enumeration
NPPES CertifiedJuly 15, 2025
✔ NPI 1629493135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ 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 ListedNutritionistTaxonomy 133N00000X
Also ListedDietitian, Registered · Nutrition, MetabolicTaxonomy 133VN1006X
Also ListedDermatologyTaxonomy 207N00000X · License PR98473 (RI)
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedNeurological SurgeryTaxonomy 207T00000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedSurgeryTaxonomy 208600000X
Also ListedUrologyTaxonomy 208800000X
1681 CRANSTON ST, Cranston, RI 02920
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Other Names 1

Doing Business AsChartercare Medical Associates

Secondary Practice Locations 2

Location 141 Sanderson RdSmithfield, RI 02917-2602 · Phone (401) 521-6310
Location 2466 Putnam PikeGreenville, RI 02828-3000 · Phone (401) 456-6511

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

Other Providers at the Same Location NPPES 7

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

DR. GREGORY G ALLEN D.O.
Internal Medicine
1681 CRANSTON ST, SUITE D
CRANSTON, RI 02920
Providence County (401) 946-8446
FRANK P. MAGGIACOMO, D.O. INC
Internal Medicine
1681 CRANSTON ST, SUITE D
CRANSTON, RI 02920
Providence County (401) 946-8446
CHARTERCARE PHYSICIANS, LLC
Internal Medicine
1681 CRANSTON ST
CRANSTON, RI 02920
Providence County (401) 944-6889
MRS. ANNA FAUCHER FULTON RNP
Nurse Practitioner (Adult Health)
1681 CRANSTON ST
CRANSTON, RI 02920
Providence County (401) 946-8446
GREGORY G ALLEN JR, D.O. INC
Internal Medicine
1681 CRANSTON ST, SUITE D
CRANSTON, RI 02920
Providence County (401) 946-8446
DR. FRANK P MAGGIACOMO D.O.
Internal Medicine
1681 CRANSTON ST, SUITE D
CRANSTON, RI 02920
Providence County (401) 946-8446
MS. SUZANNE THERESA PACHECO ATC
Specialist/Technologist (Athletic Trainer)
1681 CRANSTON ST, SUITE A
CRANSTON, RI 02920
Providence County (401) 223-0230

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 Prospect Chartercare Physicians, LLC's NPI number?

The NPI number for Prospect Chartercare Physicians, LLC is 1629493135. It was assigned to this organization in the NPPES registry on February 20, 2014. The provider is doing business as CharterCARE Medical Associates.

Where is Prospect Chartercare Physicians, LLC located?

Prospect Chartercare Physicians, LLC is located at 1681 Cranston St, Cranston, RI 02920. The listed phone number is (401) 944-6889.

What is Prospect Chartercare Physicians, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Prospect Chartercare Physicians, LLC was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.