Tracy Valerie Victoriano Bertiz, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

F430104 Issued in NY

Practice address

1 Gustave L Levy PL
Mount Sinai Medical Ctr Nursing Department Box#1458
New York, NY 10029-6500

Phone

(212) 241-5544

NPI assigned

Feb 22, 2008

Last updated

Feb 22, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Park Avenue Pediatrics, P.C.

  dba PArk Avenue Health CEnter

  • Pediatrics Physician
  • Spring Valley, NY
  • NPI 1699969543
  Medicare reassignment NPD
• Union Square Medical Imaging and Mammography PC

  • Mammography Clinic/Center
  • New York, NY
  • NPI 1912037102
  Medicare reassignment NPD
• Metropolitan Medical Diagnostics, PC

  • Neurology Physician
  • New York, NY
  • NPI 1922517598
  NPD (past)
• Progressive Care Medical Group, PLLC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1295263796
  NPD (past)

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1033388111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE GUSTAVE L. LEVY PLACE ,",
            "address_2": "MOUNT SINAI MEDICAL CTR NURSING DEPARTMENT BOX#1458",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "212-241-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "address_2": "MOUNT SINAI MEDICAL CTR NURSING DEPARTMENT BOX#1458",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296500",
            "telephone_number": "212-241-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTIZ",
        "first_name": "TRACY VALERIE",
        "middle_name": "VICTORIANO",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F430104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Jamie Bertiger, MS, RD
• Dino Bertini, D.M.D
• Frederic Joseph Bertino, M.D.
• Hilary Bertisch, PHD
• Maggie Bertisch, MD
• Todd Bertman, DMD
• Charles Bertolami, DDS
• Beth Alyse Bertoldi, MS CCC-SLP TSSLD
• Mia Bertoli, MD
• Carina Bertolini, CGC

• Acute Care Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Acute Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.