Organization Active NPI

Philippe Noel MD and Anna Berenstein MD PA

  • Internal Medicine Physician
  • North Port, FL
National Provider Identifier
1063865418
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PHILIPPE NOEL MD AND ANNA BERENSTEIN MD PA
Practice address
5400 S Biscayne Dr
B
North Port, FL 34287-1932
Phone
(516) 448-6600
NPI assigned
Jul 21, 2016
Last updated
Jul 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Authorized official

Name
Dr. Anna Berenstein, MDNPI 1023047875
Title
Owner
Phone
(516) 448-6600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X FL Primary

Addresses

Primary practice location

5400 S Biscayne Dr
B
North Port, FL 34287-1932

Mailing address

4154 Fairway PL
North Port, FL 34287-6118
Phone (516) 448-6600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160929002270 FL Part B Supplier - Clinic/Group Practice 3971890229 Receives reassigned benefits from 2 practitioners
Practice locations: North Port, FL

National Provider Directory

National Provider Directory

Locations

5400 S Biscayne Dr
Ste B
North Port, FL 34287
Phone (516) 448-6600

5900 Pan American Blvd
Unit 103
North Port, FL 34287
Phone (516) 448-6600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1063865418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4154 FAIRWAY PL",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342876118",
            "telephone_number": "516-448-6600",
            "fax_number": "941-827-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 S BISCAYNE DR",
            "address_2": "B",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342871932",
            "telephone_number": "516-448-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIPPE NOEL MD AND ANNA BERENSTEIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "BERENSTEIN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-448-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.