Laureen Malatesta Berkowitz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00801 Issued in RI

Practice address

1125 N Main St
Providence, RI 02904-5739

Phone

(401) 793-2928

Fax

(401) 793-7401

NPI assigned

Jun 8, 2011

Last updated

Jun 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avenir Ventures LLCGroup PAC ID 1153593017, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Avenir Ventures LLC

  dba Beacon Palliative Care, an Amedisys Company

  • Specialist
  • East Providence, RI
  • NPI 1235317371
  Medicare reassignment Care Compare group NPD
• Lifespan Physician Group, Inc.

  dba Brown Health Medical Group

  • General Practice Physician
  • Providence, RI
  • NPI 1407116643
  Medicare reassignment NPD
• Rhode Island Hospital

  • Multi-Specialty Clinic/Center
  • Providence, RI
  • NPI 1154537520
  Medicare reassignment NPD
• The Miriam Hospital

  • Medical Specialty Clinic/Center
  • Providence, RI
  • NPI 1275810434
  Medicare reassignment NPD
• The Miriam Hospital

  • Multi-Specialty Clinic/Center
  • Providence, RI
  • NPI 1598978744
  Medicare reassignment NPD
• Lifespan Physician Group, Inc.

  dba Brown Health Medical Group

  • Emergency Medicine Physician
  • Providence, RI
  • NPI 1568325678

  Physician Assistant

  NPD
• Rhode Island Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1972768174
  NPD
• The Miriam Hospital

  • Cardiac Rehabilitation Clinic/Center
  • East Greenwich, RI
  • NPI 1518482389
  NPD
• The Miriam Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1770520462
  NPD
• The Miriam Hospital

  dba The Men's Health Center

  • Adult Medicine Physician
  • Providence, RI
  • NPI 1831362813
  NPD
• Avenir Ventures, L.L.C.

  dba Amedisys Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Franklinton, NC
  • NPI 1629967138
  NPD

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1104110030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PIONEER CIR",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020672744",
            "telephone_number": "781-793-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045739",
            "telephone_number": "401-793-2928",
            "fax_number": "401-793-7401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "92 Grape St",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "027402143",
            "country_code": "US",
            "telephone_number": "774-202-2264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERKOWITZ",
        "first_name": "LAUREEN",
        "middle_name": "MALATESTA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA00801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Lee Berk, M.D.
• Kaitlyn Berkel
• Mara Berkley, MFT, PSY.D.
• Sarah Frances Berkman, CPM
• Julia Lauren Berkowitz, MD
• Leonard Alan Berkowitz, PA-C
• Berkshire Place LTD.
• Berkshire Place SNF LLC
• Leanne Berlinsky
• Yosef Alfred Berlow, MD, PHD

• Physician Assistant in Providence, RI
• Providers in Providence, RI by specialty
• Physician Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.