Daniel Robert Berg, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00457200 Issued in NJ

Practice address

638 Marketplace Blvd
Hamilton, NJ 08691-2113

Phone

(609) 581-5522

Fax

(609) 581-6707

NPI assigned

Sep 11, 2006

Sex

Male

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 NJ

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• NJ Eye Consultants

  • Ophthalmology Physician
  • Lakewood, NJ
  • NPI 1477064905
  Medicare reassignment NPD

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1083718019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 MARKETPLACE BLVD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086912113",
            "telephone_number": "609-581-5522",
            "fax_number": "609-581-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 MARKETPLACE BLVD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086912113",
            "telephone_number": "609-581-5522",
            "fax_number": "609-581-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "DANIEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00457200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Bencivengo, D.C.
• Karen Benedetti-Colter, PA-C
• Joleen Anne Benedict, LCSW
• Brittany Benfer, OTR/L
• Christine Anne Bennett
• Marion Levy Bergman
• Joseph Bergondo, PHARMD
• Stacey A Bernabe, PTA
• Marie Hersey Bernardo, M.D.
• Natalie Berrette, LSW

• Optometrist in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.