Organization Active NPI

Berlin Pediatric Associates, LLC

  • Pediatrics Physician
  • Berlin, CT
National Provider Identifier
1245407352
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
041963 Issued in CT
Legal business name
BERLIN PEDIATRIC ASSOCIATES, LLC
Practice address
742 Worthington RDG
Suite a
Berlin, CT 06037-3233
Phone
(860) 829-7337
Fax
(860) 829-2295
NPI assigned
May 8, 2008
Organization subpart
No

Practitioners 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D1030681Berlin Pediatric Associates, LLC742 Worthington Ridge, Berlin, CT 06037Certificate of waiverSep 12, 2026

National Provider Directory

National Provider Directory

Locations

742 Worthington Rdg
Ste A
Berlin, CT 06037
Phone (860) 829-7337

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Dr. Matteo Joseph Lopreiato, MDNPI 1811994007
Title
Sole Member
Phone
(860) 829-7337

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 041963 CT Primary

Addresses

Primary practice location

742 Worthington RDG
Suite a
Berlin, CT 06037-3233

Mailing address

742 Worthington RDG
Suite a
Berlin, CT 06037-3233
Phone (860) 829-7337

Other identifiers 1

IdentifierTypeStateIssuer
001419630MedicaidCT

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1245407352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 WORTHINGTON RDG",
            "address_2": "SUITE A",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060373233",
            "telephone_number": "860-829-7337",
            "fax_number": "860-829-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 WORTHINGTON RDG",
            "address_2": "SUITE A",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060373233",
            "telephone_number": "860-829-7337",
            "fax_number": "860-829-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERLIN PEDIATRIC ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "LOPREIATO",
        "authorized_official_first_name": "MATTEO",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "860-829-7337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "041963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001419630",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.