Provider Demographics
NPI:1598891855
Name:BELTONE NEW ENGLAND
Entity Type:Organization
Organization Name:BELTONE NEW ENGLAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDREOZZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-921-3320
Mailing Address - Street 1:931 JEFFERSON BLVD
Mailing Address - Street 2:SUITE 2001
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886
Mailing Address - Country:US
Mailing Address - Phone:401-921-3320
Mailing Address - Fax:401-921-3327
Practice Address - Street 1:400 BALD HILL ROAD
Practice Address - Street 2:SUITE 203
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886
Practice Address - Country:US
Practice Address - Phone:401-737-1320
Practice Address - Fax:401-737-2120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000030378OtherBMC HEALTH NET PLAN
MA004133OtherSENIOR WHOLE HEALTH
MA602286OtherTUFTS HEALTH PLAN
RIBN51003Medicaid
CTCV9488OtherHEALTHNET
RI10378OtherNEIGHBORHOOD HEALTH PLAN
RI276588OtherBLUE CROSS BLUE SHIELD OF
MA9735160Medicaid
MD15480001Medicaid
A84506OtherMULTI PLANS