New Berlin Medical Services, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NEW BERLIN MEDICAL SERVICES, LLC

Practice address

15324 W Beloit Road
New Berlin, WI 53151

Phone

(414) 761-0981

Fax

(414) 761-1614

NPI assigned

Jun 2, 2016

Last updated

Jun 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Donald Matteucci Sr., D.P.M.NPI 1164426763

Title

President

Phone

(414) 761-0981

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Listed as

New Berlin Medical Services LLCCCN 52C0001119

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

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.

• Robert D Matteucci, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Franklin, WI
  • NPI 1164426763
  NPD Authorized official

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1396193033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8153 S 27TH ST",
            "address_2": "SUITE 400",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329549",
            "telephone_number": "414-304-5311",
            "fax_number": "414-761-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15324 W BELOIT ROAD",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "53151",
            "telephone_number": "414-761-0981",
            "fax_number": "414-761-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BERLIN MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "MATTEUCCI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-761-0981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neuro Path Counseling LLC (Neuro Path Wellness)
• Neurotel Management Co Inc
• New Berlin Chiropractic and Therapy Center SC
• New Berlin Family Dentistry LLC (Fox Gentle Dentistry)
• New Berlin Family Physicians, SC
• New Berlin Pharmacy Inc
• New Berlin Public School District
• Nezih Z. Hasanoglu, D.O., S.C. (Nezih Z. Hasanoglu, D.O.)
• Quinta Nfor, AGNP-DNP
• Jennifer J Nicpon, APNP

• Ambulatory Surgical Clinic/Center in New Berlin, WI
• Providers in New Berlin, WI by specialty
• Ambulatory Surgical Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.