Dr. Andrew M. Berliner

Primary specialty

PodiatristTaxonomy code 213E00000X

License

P00012CT Issued in CT

Legal business name

DR. ANDREW M. BERLINER

Practice address

246 East Main Street
Suite 2
Clinton, CT 06413

Phone

(860) 669-1320

Fax

(860) 669-5186

NPI assigned

Dec 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Mark Berliner, DPMNPI 1710982327

Title

Podiatrist

Phone

(860) 669-1320

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Andrew Mark Berliner, DPM

  • Podiatrist
  • Clinton, CT
  • NPI 1710982327
  NPD (past) Authorized official

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1508048356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 EAST MAIN STREET",
            "address_2": "SUITE 2",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "06413",
            "telephone_number": "860-669-1320",
            "fax_number": "860-669-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 EAST MAIN STREET",
            "address_2": "SUITE 2",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "06413",
            "telephone_number": "860-669-1320",
            "fax_number": "860-669-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ANDREW M. BERLINER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "BERLINER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "860-669-1320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "P00012CT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004006680",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Casey Dalton
• Clairlyn Elizabeth Davis, LPC
• Amy Decaprio, RN
• Lori Evelyn Demayo, FNP
• Dermatology in Clinton, LLP
• Edward I Winokur MD
• Christopher A Fallago, DMD
• Amelia R Farnham, PHARMD
• Jody M Farrell, MS
• Gail Fasciano, RN

• All providers in Clinton, CT
• Podiatrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.