Active NPI
Scott Berman, MD
- Obstetrics & Gynecology Physician
- Stony Brook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 224865
- Practice address
- 2500 Nesconset Hwy
Building 12 Suite 45
Stony Brook, NY 11790-2555 - Phone
- (631) 675-9010
- Fax
- (631) 675-9009
- NPI assigned
- Aug 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 224865 | NY | Primary |
| Gynecology Physician | 207VG0400X | 224865 | NY | |
| Obstetrics Physician | 207VX0000X | 224865 | NY |
Addresses
Primary practice location
2500 Nesconset Hwy
Building 12 Suite 45
Stony Brook, NY 11790-2555
Mailing address
2500 Nesconset Hwy
Building 12 Suite 45
Stony Brook, NY 11790-2555
Phone (631) 675-9010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02359644 | Medicaid | NY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Heroes Way
Riverhead, NY 11901-2054
Phone (631) 548-6000
200 Nesconset Hwy
BLDG 12
Stony Brook, NY 11790-2555
Phone (631) 396-7026
251 E Oakland Ave
Port Jefferson, NY 11777-2602
Phone (631) 968-3319
251 Oakland Ave
Suite 2B
Port Jefferson, NY 11777-2602
Phone (631) 396-7026
300 Community Dr
Manhasset, NY 11030-3816
300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229
330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550
350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 224865 | NY | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huntington Hospital Dolan Family Health Center | Current | Accepting new patients | |
| Central Suffolk Hosptial | Current | Accepting new patients | |
| Central Suffolk Hospital | Current | Accepting new patients | |
| Central Suffolk Hospital | Past | Accepting new patients |
Locations
1572 New York Ave
Huntington Station, NY 11746
Phone (631) 425-5250
1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- sberman67417@northwell.direct-ci.com
Organizations & group practices 5
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.
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- NPI 1043402050
-
- Health Service Clinic/Center
- Greenlawn, NY
- NPI 1578593588
-
- Nurse Practitioner
- Riverhead, NY
- NPI 1841637741
-
- General Acute Care Hospital
- Riverhead, NY
- NPI 1386649804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337212800000",
"number": "1093707572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 NESCONSET HWY",
"address_2": "BUILDING 12 SUITE 45",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117902555",
"telephone_number": "631-675-9010",
"fax_number": "631-675-9009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 NESCONSET HWY",
"address_2": "BUILDING 12 SUITE 45",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117902555",
"telephone_number": "631-675-9010",
"fax_number": "631-675-9009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMAN",
"first_name": "SCOTT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2012-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "224865",
"primary": true
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NY",
"license": "224865",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "NY",
"license": "224865",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02359644",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.
- 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.