RAYNHAM TAUNTON PEDIATRICS NPI 1336117316

NPI Information

  • NPI: 1336117316
  • Provider Name: RAYNHAM TAUNTON PEDIATRICS
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 22D0978515
  • Address: 876 BROADWAY
    RAYNHAM, MA
    ZIP 02767
  • Phone: (508) 824-9500

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NPI Details

RAYNHAM TAUNTON PEDIATRICS is a pediatrics in Raynham, MA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. RAYNHAM TAUNTON PEDIATRICS NPI is 1336117316. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

876 BROADWAY
RAYNHAM, MA
ZIP 02767-797
Phone: (508) 824-9500
Fax: (508) 824-9507

The provider's authorized official is Kenneth Alan Berlin .
The authorized official title is President and has the following contact phone number (508) 824-9500.

The CLIA number assigned to this NPI record is 22D0978515 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/8/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics52899MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
112-01645OTHERMASSACHUSETTSUNITED HEALTH CARE
2200584OTHERMASSACHUSETTSHARVARD PILGRIM
39702130MEDICAIDMASSACHUSETTS
4052899OTHERMASSACHUSETTSTUFTS
5B10358301OTHERMASSACHUSETTSCIGNA
6J03588OTHERMARYLANDBLUE CROSS
72145974OTHERMASSACHUSETTSAETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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