Individual provider Active NPI

Christine Berge, DC

  • Chiropractor
  • Oyster Bay, NY
National Provider Identifier
1043371651
Registry record updated Aug 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0060331 Issued in NY
Practice address
127 South St
Ste 1
Oyster Bay, NY 11771-2248
Phone
(516) 922-2540
Fax
(516) 922-2531
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X0060331 NY Primary

Addresses

Primary practice location

127 South St
Ste 1
Oyster Bay, NY 11771-2248

Mailing address

127 South St
Ste 1
Oyster Bay, NY 11771-2248
Phone (516) 922-2540

Other identifiers 2

IdentifierTypeStateIssuer
X47272OtherNYEMPIRE BCBS
P694126OtherOXFORD HEALTH PLANS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031124000677 NY Practitioner - Chiropractic 3577467273 Practice locations: Oyster Bay, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 S St
Suite 225
Oyster Bay, NY 11771-2255
Phone (516) 922-2540

127 S St
Suite 1
Oyster Bay, NY 11771-2248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X0060331NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345766400000",
    "number": "1043371651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 SOUTH ST",
            "address_2": "STE 1",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712248",
            "telephone_number": "516-922-2540",
            "fax_number": "516-922-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 SOUTH ST",
            "address_2": "STE 1",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712248",
            "telephone_number": "516-922-2540",
            "fax_number": "516-922-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGE",
        "first_name": "CHRISTINE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2012-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0060331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "X47272",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P694126",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oyster Bay, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.