Individual provider Active NPI

Laura Berenstain, M.D.

  • Pediatric Anesthesiology Physician
  • New Haven, CT
National Provider Identifier
1467451302
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
76424 Issued in CT
Practice address
20 York St
New Haven, CT 06510-3202
Phone
(203) 737-5919
NPI assigned
Jul 20, 2005
Last updated
Nov 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X H8623 TX
Anesthesiology Physician 207L00000X MD041599E PA
Pediatric Anesthesiology Physician 207LP3000X 35.132328 OH
Pediatric Anesthesiology Physician 207LP3000X 76424 CT Primary
Pediatric Anesthesiology Physician 207LP3000X MD041599E PA

Addresses

Primary practice location

20 York St
New Haven, CT 06510-3202

Mailing address

333 Cedar St # TMP3
New Haven, CT 06510-3206

Other practice location 1

CCHMC 3333 Burnet Ave.
ML 2001
Cincinnati, OH 45229-3026
Phone (513) 636-4408

Other practice location 2

CCHMC 3333 Burnet Ave.
ML 2001
Cincinnati, OH 45229-3026
Phone (513) 636-4408

Other practice location 3

550 S Goddard Blvd
King Of Prussia, PA 19406-2922
Phone (610) 337-3232

Other practice location 4

3401 Civic Center Blvd Ste 9329
Philadelphia, PA 19104-4319
Phone (215) 590-1858

Other identifiers 3

IdentifierTypeStateIssuer
1020009890001MedicaidPA
126173708MedicaidTX
113582EJLOtherPAMEDICARE PTAN

Other names 1

  • Laura Kay Diaz Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD041599EPAMDAnesthesiology Physician
H8623TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Los Angeles Medical Group, Inc. CurrentSince Apr 17, 2022 Accepting new patients
Baylor College of Medicine Anesthesiology Past Accepting new patients
Children's Medical Services, Inc Pediatric Anesthesiology Past Accepting new patients
Baylor College of Medicine Past Accepting new patients
Anesthesia Resources for Children Anesthesiology Past Accepting new patients

Locations

3701 Wilshire Blvd
Ste 600
Los Angeles, CA 90010
Phone (323) 361-3550

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1467451302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CEDAR ST # TMP3",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103202",
            "telephone_number": "203-737-5919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CCHMC 3333 Burnet Ave.",
            "address_2": "ML 2001",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452293026",
            "country_code": "US",
            "telephone_number": "513-636-4408",
            "fax_number": "513-636-7337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "CCHMC 3333 Burnet Ave.",
            "address_2": "ML 2001",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452293026",
            "country_code": "US",
            "telephone_number": "513-636-4408",
            "fax_number": "513-636-7337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 S Goddard Blvd",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194062922",
            "country_code": "US",
            "telephone_number": "610-337-3232",
            "fax_number": "610-337-0325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 Civic Center Blvd Ste 9329",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044319",
            "country_code": "US",
            "telephone_number": "215-590-1858",
            "fax_number": "215-590-1415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERENSTAIN",
        "first_name": "LAURA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "H8623",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD041599E",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "OH",
            "license": "35.132328",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "CT",
            "license": "76424",
            "primary": true
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "PA",
            "license": "MD041599E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020009890001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126173708",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "113582EJL",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "DIAZ",
            "middle_name": "KAY",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.