Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prospect Chartercare Physicians, LLC

Organization Nutritionist · NPI 1629493135

Prospect Chartercare Physicians, LLC is a Nutritionist in Cranston, Rhode Island. Works from 3 locations. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2014
Specialties on file
14
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1681 Cranston St
Cranston, RI 02920-5000
Phone: (401) 944-6889
Fax: (401) 944-6726
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 466 Putnam Pike, Greenville, RI 02828-3000 — (401) 456-6511
  • 41 Sanderson Rd, Smithfield, RI 02917-2602 — (401) 521-6310

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Nutritionist Taxonomy 133N00000X
Metabolic Nutrition Registered Dietitian Taxonomy 133VN1006X
Dermatology Physician Taxonomy 207N00000X · Licence PR98473 (RI)
Family Medicine Physician Taxonomy 207Q00000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Gastroenterology Physician Taxonomy 207RG0100X
Hematology & Oncology Physician Taxonomy 207RH0003X
Infectious Disease Physician Taxonomy 207RI0200X
Pulmonary Disease Physician Taxonomy 207RP1001X
Neurological Surgery Physician Taxonomy 207T00000X
Neurology Physician Taxonomy 2084N0400X
Surgery Physician Taxonomy 208600000X
Urology Physician Taxonomy 208800000X

Record details

NPI number1629493135
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Elders — Secretary · (714) 788-1249
Other names Chartercare Medical Associates; Chartercare Medical Associates
NPI enumeratedFebruary 20, 2014
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025
Mailing address825 Chalkstone Ave, Providence, RI 02908-4728

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