Active NPIIndividual provider

Laureen M Berkowitz, PA-C

Physician Assistant in Providence, Rhode Island

NPI Number1104110030
Practice location
1125 N Main St, Providence, RI 02904-5739
Fax
401-793-7401
Last updated
June 17, 2020

Laureen Malatesta Berkowitz is a Physician Assistant based in Providence, RI. Laureen Malatesta Berkowitz practices in Providence, RI and has the professional credentials of PA-C. The NPI Number for Laureen Malatesta Berkowitz is 1104110030 and holds a License No. PA00801 (RI). The current practice location address for Laureen Malatesta Berkowitz is 1125 N Main St, Providence, RI 02904-5739 and can be reached out via phone at 401-793-2928 and via fax at 401-793-7401.

Provider Profile Details

NPI Number
1104110030
Provider Name
Laureen Malatesta Berkowitz
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1125 N Main St, Providence, RI 02904-5739
Phone Number
401-793-2928
Fax Number
401-793-7401
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 8, 2011
Last Update Date
June 17, 2020
Certification Date
June 17, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1125 N Main St
Providence, RI 02904-5739
Zip
02904-5739
Phone Number
401-793-2928
Fax Number
401-793-7401
Providence, RI 02904Get directions →

Provider Business Mailing Address Details

Address
6 Pioneer Cir
Sharon, MA 02067-2744
City
Sharon
State
MA
Zip
02067-2744
Phone Number
781-793-0012

License Information

License Number
PA00801
License State
RI
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Laureen M Berkowitz, PA-C?

The NPI number of Laureen M Berkowitz, PA-C is 1104110030. It was assigned on June 8, 2011 and is currently active in the NPPES registry.

What is the specialty of Laureen M Berkowitz, PA-C?

Laureen M Berkowitz, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in RI under license number PA00801.

Where does Laureen M Berkowitz, PA-C practice?

The practice location is 1125 N Main St, Providence, RI 02904-5739. The office can be reached at 401-793-2928 (phone) or 401-793-7401 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104110030 directly on the NPPES registry website.

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