Organization Active NPI

Berlin Family Practice Associates

  • Primary Care Clinic/Center
  • Berlin, NJ
National Provider Identifier
1124002779
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MB064541 Issued in NJ
Legal business name
BERLIN FAMILY PRACTICE ASSOCIATES
Practice address
23 Harker Ave
Berlin, NJ 08009
Phone
(856) 767-0078
Fax
(856) 767-3662
NPI assigned
Dec 6, 2005
Last updated
Feb 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Authorized official

Name
Dr. John A Laratta, DO
Title
President
Phone
(856) 767-0078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MB064541 NJ Primary

Addresses

Primary practice location

23 Harker Ave
Berlin, NJ 08009

Mailing address

23 Harker Ave
Berlin, NJ 08009
Phone (856) 767-0078

Other names 1

  • John A LaRatta DO Other name

National Provider Directory

National Provider Directory

Locations

23 Harker Ave
Berlin, NJ 08009
Phone (856) 767-0078

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1124002779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 HARKER AVE",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "08009",
            "telephone_number": "856-767-0078",
            "fax_number": "856-767-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 HARKER AVE",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "08009",
            "telephone_number": "856-767-0078",
            "fax_number": "856-767-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERLIN FAMILY PRACTICE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "LARATTA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-767-0078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "MB064541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John A LaRatta DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Berlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.