Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Laureen Malatesta Berkowitz, PA-C

Individual provider Physician Assistant · NPI 1104110030

Laureen Malatesta Berkowitz, PA-C is a Physician Assistant in Providence, Rhode Island. Qualified in 1990, 36 years ago. Practices with Avenir Ventures LLC, a 31-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
36
Licensed in
RI
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1125 N Main St
Providence, RI 02904-5739
Phone: (401) 793-2928
Fax: (401) 793-7401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 92 Grape St, New Bedford, MA 02740-2143 — (774) 202-2264

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00801 (RI)

Record details

NPI number1104110030
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 8, 2011
Last updated in NPPESJune 17, 2020
Certification dateJune 17, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Avenir Ventures Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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