Active NPI
Daniel Berson, MD
- Surgery Physician
- New City, NY
National Provider Identifier
1083721294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 106055
- Practice address
- 6 Rollingwood Dr
New City, NY 10956-2006 - Phone
- (914) 450-2375
- Fax
- (845) 634-3600
- NPI assigned
- Aug 24, 2006
- Last updated
- Jul 31, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 106055 | NY | Primary |
Addresses
Primary practice location
6 Rollingwood Dr
New City, NY 10956-2006
Mailing address
6 Rollingwood Dr
New City, NY 10956-2006
Phone (914) 450-2375
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160804000891 | NY | Order and Referring Only - General Surgery | 3476678665 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375228800000",
"number": "1083721294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 ROLLINGWOOD DR",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109562006",
"telephone_number": "914-450-2375",
"fax_number": "845-634-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 ROLLINGWOOD DR",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109562006",
"telephone_number": "914-450-2375",
"fax_number": "845-634-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERSON",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2013-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "106055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.