Shelley R. Berson, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

173585 Issued in NY

Practice address

2 Strawtown Rd
Suites 6 & 7
West Nyack, NY 10994-1847

Phone

(845) 727-1340

Fax

(845) 727-1349

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Physical Medicine and Rehabilitation Center PA

  • Rehabilitation Practitioner
  • Englewood, NJ
  • NPI 1831110469
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1003830886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 STRAWTOWN ROAD",
            "address_2": "SUITES 6 & 7",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "10994",
            "telephone_number": "845-727-1340",
            "fax_number": "845-727-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 STRAWTOWN RD",
            "address_2": "SUITES 6 & 7",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941847",
            "telephone_number": "845-727-1340",
            "fax_number": "845-727-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERSON",
        "first_name": "SHELLEY",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "173585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02153667",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael S Bensman, MD
• Jonathan Ian Berg, M.D.
• Matthew Adam Berger, PSY.D.
• Brian Bernasconi, ATC
• Judith Rose Bernes, LCSW
• Shailesh Bhadoria
• Bina Bhatia, DDS
• Lori A. Bisceglie, P.T.
• BJ'S Wholesale Club Inc.
• Francine Mindy Blumm, LCSW

• Otolaryngology Physician in West Nyack, NY
• Providers in West Nyack, NY by specialty
• Otolaryngology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.