Pediatric Heart Specialists, LLC

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

034959 Issued in CT

Legal business name

PEDIATRIC HEART SPECIALISTS, LLC

Practice address

107 Church Hill Rd
Suite 1a
Sandy Hook, CT 06482-1108

Phone

(203) 426-0225

Fax

(203) 426-0249

NPI assigned

Sep 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Richard A Berning, M.D.

Title

Physician Owner

Phone

(203) 426-0225

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1376850081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CHURCH HILL RD",
            "address_2": "SUITE 1A",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821108",
            "telephone_number": "203-426-0225",
            "fax_number": "203-426-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CHURCH HILL RD",
            "address_2": "SUITE 1A",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821108",
            "telephone_number": "203-426-0225",
            "fax_number": "203-426-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC HEART SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "BERNING",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN   OWNER",
        "authorized_official_telephone_number": "203-426-0225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CT",
            "license": "034959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "753985",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET NORTHEAST",
            "identifier": "3V6335",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001349598",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "010034959CT12",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD UNITED HEALTHCARE",
            "identifier": "P3399905",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Cardiology Physician in Sandy Hook, CT
• Providers in Sandy Hook, CT by specialty
• Pediatric Cardiology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.