Berlin Family Practice Associates
Organization Active NPI Primary Care Clinic/Center · Berlin, NJ
NPI 1124002779 · NPPES record last updated Feb 18, 2016
Key facts
- NPI
- 1124002779
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- MB064541 (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
- Organization subpart
- No
Authorized official
- Name
- Dr. John A Laratta, DO
- Title
- President
- Phone
- (856) 767-0078
Practitioners 1
-
Guy Andrew Buonincontro, D.O.
National Provider Directory
Locations
23 Harker Ave
Berlin, NJ 08009
Phone (856) 767-0078
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | MB064541 | NJ | Yes |
Addresses
Primary practice location
23 Harker Ave
Berlin, NJ 08009
Mailing address
23 Harker Ave
Berlin, NJ 08009
Phone (856) 767-0078
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2863308 | Medicaid | NJ |
Other names
- John A LaRatta DO
Other providers in Berlin, NJ
- Jenna Bentsen
- Berlin Borough School District
- Berlin Dental Arts, LLC
- Berlin Dental Associates
- Berlin Dialysis Center
- Berlin Inter Community Ambulance Association
- Berlin Medical Assco
- Berlin Medical Associates
- Berlin Medical Associates, P.a.
- Berlin Operator LLC
All providers in Berlin, NJ · Primary Care Clinic/Center in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.