Individual provider Active NPI

Dahlyt Berezin-Bahr, CPM, LM

  • Midwife
  • Staten Island, NY
National Provider Identifier
1033415542
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
25MW00002000 Issued in NJ
Practice address
14 Uxbridge St
Staten Island, NY 10314-5022
Phone
(917) 662-5065
Fax
(201) 221-8172
NPI assigned
Jan 31, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 25MW00002000 NJ Primary

Addresses

Primary practice location

14 Uxbridge St
Staten Island, NY 10314-5022

Mailing address

14 Uxbridge St
Staten Island, NY 10314-5022
Phone (917) 662-5065

Other practice location 1

4 Vale St
Edison, NJ 08817-3403
Phone (917) 662-5065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25MW00002000NJMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1033415542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 UXBRIDGE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145022",
            "telephone_number": "917-662-5065",
            "fax_number": "201-221-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 UXBRIDGE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145022",
            "telephone_number": "917-662-5065",
            "fax_number": "201-221-8172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Vale St",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088173403",
            "country_code": "US",
            "telephone_number": "917-662-5065",
            "fax_number": "201-221-8172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEREZIN-BAHR",
        "first_name": "DAHLYT",
        "name_prefix": "Ms.",
        "credential": "CPM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-31",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NJ",
            "license": "25MW00002000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.