RAYNHAM TAUNTON PEDIATRICS
NPI 1336117316
Pediatrics in Raynham, MA

Active since March 08, 2006CLIA 22D0978515 · Certificate of Compliance
876 BROADWAY, RAYNHAM, MA 02767(508) 824-9500(508) 824-9507 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Raynham Taunton Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAYNHAM TAUNTON PEDIATRICS (NPI 1336117316) is a healthcare organization registered as a pediatrics in Raynham, Massachusetts and active in the NPI registry since March 2006. The organization holds a CLIA Certificate of Compliance certificate valid through January 10, 2027 and lists Kenneth Alan Berlin, President, as its authorized official.

NPPES Registry Identity

NPI1336117316
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameRAYNHAM TAUNTON PEDIATRICS
Location Address876 BROADWAYRaynham, MA 02767-1797
Mailing Address876 BroadwayRaynham, MA 02767-1797 · (508) 824-9500 · Fax (508) 824-9507
Fax(508) 824-9507
Organization SubpartNo
Authorized OfficialKenneth Alan BerlinPresident · (508) 824-9500
Enumeration DateMarch 8, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1336117316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MA · 52899
Definition

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.

876 BROADWAY, Raynham, MA 02767

Other Identifiers 7

Other12-01645MA · United Health Care
Other200584MA · Harvard Pilgrim
Medicaid9702130MA
Other052899MA · Tufts
OtherB10358301MA · Cigna
OtherJ03588MD · Blue Cross
Other2145974MA · Aetna

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 22D0978515

Raynham-Taunton Pediatrics · Raynham, MA
Active · expires Jan 10, 2027
CLIA Number22D0978515
Laboratory TypePhysician Office
Certificate Effective DateJanuary 11, 2025
Certificate Expiration DateJanuary 10, 2027
Laboratory DirectorModar Sukkarieh
Laboratory Phone(508) 824-9500
Laboratory LocationRaynham-Taunton Pediatrics876 Broadway, Raynham, MA 02767
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
876 BROADWAY
RAYNHAM, MA 02767
Pediatrics
876 BROADWAY
RAYNHAM, MA 02767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raynham Taunton Pediatrics's NPI number?

The NPI number for Raynham Taunton Pediatrics is 1336117316. It was assigned to this organization in the NPPES registry on March 8, 2006.

Where is Raynham Taunton Pediatrics located?

Raynham Taunton Pediatrics is located at 876 Broadway, Raynham, MA 02767. The listed phone number is (508) 824-9500.

What is Raynham Taunton Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Raynham Taunton Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 22D0978515) is associated with this NPI, valid through January 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Raynham Taunton Pediatrics was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.