NPIMap

Organization Active NPI

Berkshire Pediatric Associates PC

  • Pediatrics Physician
  • Pittsfield, MA
National Provider Identifier
1093798415
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
BERKSHIRE PEDIATRIC ASSOCIATES PC
Practice address
777 North St Ste 305
Berkshire Pediatric Associates PC
Pittsfield, MA 01201-4172
Phone
(413) 499-8531
Fax
(413) 499-8560
NPI assigned
Nov 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Richard S Rosenfeld, MDNPI 1568438588
Title
MD President
Phone
(413) 499-8534

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

777 North St Ste 305
Berkshire Pediatric Associates PC
Pittsfield, MA 01201-4172

Mailing address

777 North St Ste 305
Berkshire Pediatric Associates PC
Pittsfield, MA 01201-4172
Phone (413) 499-8531

Other identifiers 2

IdentifierTypeStateIssuer
M17595OtherMABLUE CROSS GRP
9701290MedicaidMA

National Provider Directory

National Provider Directory

Locations

777 North St
Ste 305
Pittsfield, MA 01201
Phone (413) 499-8531

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1093798415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 NORTH ST STE 305",
            "address_2": "BERKSHIRE PEDIATRIC ASSOCIATES PC",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014172",
            "telephone_number": "413-499-8531",
            "fax_number": "413-499-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 NORTH ST STE 305",
            "address_2": "BERKSHIRE PEDIATRIC ASSOCIATES PC",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014172",
            "telephone_number": "413-499-8531",
            "fax_number": "413-499-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE PEDIATRIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "ROSENFELD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD PRESIDENT",
        "authorized_official_telephone_number": "413-499-8534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GRP",
            "identifier": "M17595",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9701290",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.