Active NPI
Todd J Berman DMD, PC
- Oral and Maxillofacial Surgery Clinic/Center
- New York, NY
National Provider Identifier
1093807166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery Clinic/Center
- License
- 032561
- Legal business name
- TODD J BERMAN DMD, PC
- Practice address
- 307 E 49TH St
New York, NY 10017-7306 - Phone
- (212) 888-7070
- Fax
- (212) 888-1114
- NPI assigned
- Sep 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Todd J Berman, D.M.D.
- Title
- President
- Phone
- (212) 888-7070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center | 261QS0112X | 032561 | NY | Primary |
Addresses
Primary practice location
307 E 49TH St
New York, NY 10017-7306
Mailing address
307 E 49TH St
New York, NY 10017-7306
Phone (212) 888-7070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00382898 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
307 E 49th St
New York, NY 10017
Phone (212) 752-7171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212105600000",
"number": "1093807166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 E 49TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100177306",
"telephone_number": "212-888-7070",
"fax_number": "212-888-1114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 E 49TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100177306",
"telephone_number": "212-888-7070",
"fax_number": "212-888-1114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TODD J BERMAN DMD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-28",
"last_updated": "2008-05-30",
"status": "A",
"authorized_official_last_name": "BERMAN",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-888-7070",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "261QS0112X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "032561",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00382898",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.